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1255640835
SHANE HAROLD BONELLA
GRANTS PASS, OR
NPI
1255640835
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: OR C2795)
Enumeration Date
2010-09-30
Last Update Date
2024-02-07
Business Address
Mr. SHANE HAROLD BONELLA M. Coun., LPC
1215 SW G ST
GRANTS PASS, OR 97526-2544
Phone number: 541-476-2373
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Mailing Address
Mr. SHANE HAROLD BONELLA M. Coun., LPC
1545 HARBECK RD
GRANTS PASS, OR 97527-5605
Phone number: 541-476-2373
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