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1245328111
SHANE CONLEY MILLS
LAKE ELSINORE, CA
NPI
1245328111
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2006-10-10
Last Update Date
2007-07-08
Business Address
-- SHANE CONLEY MILLS
267 WHITE OAK RD
LAKE ELSINORE, CA 92530-5182
Phone number: 714-834-7861
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Mailing Address
-- SHANE CONLEY MILLS
267 WHITE OAK RD
LAKE ELSINORE, CA 92530-5182
Phone number: 714-834-7861
Copy
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