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1285105643
CHRISTOPHER SHANE
ANAHEIM, CA
NPI
1285105643
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2018-12-11
Last Update Date
2018-12-11
Business Address
CHRISTOPHER SHANE
2531 W WOODLAND DR
ANAHEIM, CA 92801-2637
Phone number: 714-226-9888
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Mailing Address
CHRISTOPHER SHANE
5822 CROCUS CIR
LA PALMA, CA 90623-2119
Phone number:
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