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1144002957
SHAWN RIDDLE
BELLEVUE, NE
NPI
1144002957
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
Enumeration Date
2023-10-17
Last Update Date
2023-10-17
Business Address
SHAWN RIDDLE
2612 BRYAN AVE # NE68005
BELLEVUE, NE 68005-2865
Phone number: 402-850-4577
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Mailing Address
SHAWN RIDDLE
2612 BRYAN AVE # NE68005
BELLEVUE, NE 68005-2865
Phone number: 402-850-4577
Copy
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