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1255902086
DAVID SHORT
REDDING, CA
NPI
1255902086
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2021-07-02
Last Update Date
2021-07-02
Business Address
Mr. DAVID SHORT
3590 EL PORTAL DR APT 15
REDDING, CA 96002-3154
Phone number: 530-722-1114
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Mailing Address
Mr. DAVID SHORT
1178 LAKE BLVD SPC 26
REDDING, CA 96003-1708
Phone number: 530-917-3963
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