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1417400623
IAN SHELTON
SPRINGFIELD, MO
NPI
1417400623
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2016-07-25
Last Update Date
2016-07-25
Business Address
-- IAN SHELTON
404 E BATTLEFIELD ST
SPRINGFIELD, MO 65807-4802
Phone number: 417-865-8045
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Mailing Address
-- IAN SHELTON
404 E BATTLEFIELD ST
SPRINGFIELD, MO 65807-4802
Phone number:
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