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1457016263
SHAWN WILLIAM RODGERS
WASILLA, AK
NPI
1457016263
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date
2021-11-05
Last Update Date
2021-11-05
Business Address
SHAWN WILLIAM RODGERS
26731 W POINT MACKENZIE RD
WASILLA, AK 99623-8709
Phone number: 907-376-4534
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Mailing Address
SHAWN WILLIAM RODGERS
2601 E QUIET CIR APT 2
WASILLA, AK 99654-7363
Phone number: 907-671-2336
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