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1194265405
SHANE CHURCH
ORLANDO, FL
NPI
1194265405
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2017-03-06
Last Update Date
2017-03-06
Business Address
-- SHANE CHURCH B.A.
3200 W COLONIAL DR
ORLANDO, FL 32808-8023
Phone number: 407-875-3700
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Mailing Address
-- SHANE CHURCH B.A.
3200 W COLONIAL DR
ORLANDO, FL 32808-8023
Phone number:
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