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1134987993
SHAWN WADDELL
SAN ANTONIO, TX
NPI
1134987993
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
(Licence: CA R1451161221)
Enumeration Date
2024-03-07
Last Update Date
2024-03-07
Business Address
SHAWN WADDELL
7915 MELBURY FRST
SAN ANTONIO, TX 78239-3204
Phone number: 818-466-4878
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Mailing Address
SHAWN WADDELL
7915 MELBURY FRST
SAN ANTONIO, TX 78239-3204
Phone number:
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