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1114491537
EOLA SHELLY FOWLER
YERINGTON, NV
NPI
1114491537
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2019-01-18
Last Update Date
2022-05-23
Business Address
EOLA SHELLY FOWLER
720 S MAIN ST STE C
YERINGTON, NV 89447-2474
Phone number: 775-463-6597
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Mailing Address
EOLA SHELLY FOWLER
720 S MAIN ST STE C
YERINGTON, NV 89447-2474
Phone number: 775-463-6597
Copy
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