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1427180876
SHAWN BETTENCOURT
ALTADENA, CA
NPI
1427180876
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2007-03-12
Last Update Date
2007-07-08
Business Address
-- SHAWN BETTENCOURT
2933 EL NIDO DR
ALTADENA, CA 91001-4529
Phone number: 626-831-4091
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Mailing Address
-- SHAWN BETTENCOURT
2933 EL NIDO DR
ALTADENA, CA 91001-4529
Phone number: 626-831-4091
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