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1295591048
RICHARD DEVON SHIELDS
EL CAJON, CA
NPI
1295591048
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date
2024-02-27
Last Update Date
2024-02-27
Business Address
RICHARD DEVON SHIELDS
1400 N JOHNSON AVE STE 101
EL CAJON, CA 92020-1651
Phone number: 619-442-0277
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Mailing Address
RICHARD DEVON SHIELDS
1400 N JOHNSON AVE STE 101
EL CAJON, CA 92020-1651
Phone number: 619-442-0277
Copy
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