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1750645792
EDWIN L SHURIG
BLOOMINGTON, IN
NPI
1750645792
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: IN 39002310A)
Enumeration Date
2012-06-25
Last Update Date
2012-06-25
Business Address
EDWIN L SHURIG MAMFT
3166 E BRAESIDE DR
BLOOMINGTON, IN 47408-4391
Phone number: 812-360-5737
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Mailing Address
EDWIN L SHURIG MAMFT
3166 E BRAESIDE DR
BLOOMINGTON, IN 47408-4391
Phone number: 812-360-5737
Copy
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