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1174717706
LARRY JAMES SHAFER
SANTA MARIA, CA
NPI
1174717706
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date
2007-08-27
Last Update Date
2007-09-04
Business Address
MR. LARRY JAMES SHAFER
115 E FESLER ST
SANTA MARIA, CA 93454-4404
Phone number: 805-922-6597
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Mailing Address
MR. LARRY JAMES SHAFER
316 EL CALLE JON
SANTA MARIA, CA 93454-4719
Phone number: 805-720-3774
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