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1659865889
MONTEL DAJUAN SHIRLEY
VANCOUVER, WA
NPI
1659865889
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2018-06-20
Last Update Date
2021-04-07
Business Address
MONTEL DAJUAN SHIRLEY
9300 NE OAK VIEW DR
VANCOUVER, WA 98662-6157
Phone number: 360-567-2211
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Mailing Address
MONTEL DAJUAN SHIRLEY
9300 NE OAK VIEW DR
VANCOUVER, WA 98662-6157
Phone number: 360-567-2211
Copy
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