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1457994014
JEREMY SHOEMAKER
GLENDALE, AZ
NPI
1457994014
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor Professional
(Licence: AZ LAC-17240)
Enumeration Date
2019-10-25
Last Update Date
2019-10-25
Business Address
JEREMY SHOEMAKER LAC
5546 W DESERT COVE AVE
GLENDALE, AZ 85304-3841
Phone number: 520-334-8573
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Mailing Address
JEREMY SHOEMAKER LAC
5546 W DESERT COVE AVE
GLENDALE, AZ 85304-3841
Phone number: 520-334-8573
Copy
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