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1194004002
SHAWN HOLLOWAY
TAFT, CA
NPI
1194004002
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA H0608122153)
Enumeration Date
2011-08-09
Last Update Date
2011-08-09
Business Address
-- SHAWN HOLLOWAY R.A.S.
1021 4TH ST
TAFT, CA 93268-2433
Phone number: 661-765-7025
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Mailing Address
-- SHAWN HOLLOWAY R.A.S.
37 LA MESA DR
BAKERSFIELD, CA 93305-2919
Phone number:
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