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1598313272
RYAN EDWARD SHAW
SAN DIEGO, CA
NPI
1598313272
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA AMFT112637)
Enumeration Date
2019-08-27
Last Update Date
2019-08-27
Business Address
Mr. RYAN EDWARD SHAW
8910 CLAIRMONT MESA BLVD
SAN DIEGO, CA 92123
Phone number: 858-514-5144
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Mailing Address
Mr. RYAN EDWARD SHAW
214 GRAPE STREET
SAN DIEGO, CA 92101
Phone number: 661-333-0517
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