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1346429164
TREAVOR SHELTON
LOS ANGELES, CA
NPI
1346429164
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-10-29
Last Update Date
2007-10-29
Business Address
-- TREAVOR SHELTON
1704 W MANCHESTER AVE STE 103
LOS ANGELES, CA 90047-3056
Phone number: 310-702-4520
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Mailing Address
-- TREAVOR SHELTON
231 E 3RD ST APT 302
LOS ANGELES, CA 90013-1464
Phone number: 310-702-4520
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