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1528831393
SHANE ANDREW PATTERSON
NEWPORT BEACH, CA
NPI
1528831393
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2023-11-03
Last Update Date
2023-11-03
Business Address
Mr. SHANE ANDREW PATTERSON RADT
20271 SW BIRCH ST
NEWPORT BEACH, CA 92660-1752
Phone number: 949-565-2276
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Mailing Address
Mr. SHANE ANDREW PATTERSON RADT
20271 SW BIRCH ST
NEWPORT BEACH, CA 92660-1752
Phone number: 949-565-2276
Copy
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