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1497932214
ERIC WILLISTON SHOR
DAVIS, CA
NPI
1497932214
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2008-01-23
Last Update Date
2008-01-23
Business Address
Mr. ERIC WILLISTON SHOR
1214 EAST 8TH ST
DAVIS, CA 95616
Phone number: 530-758-7574
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Mailing Address
Mr. ERIC WILLISTON SHOR
1214 EAST 8TH ST
DAVIS, CA 95616
Phone number: 530-758-7574
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