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1760206528
EDMOND WALTER SHELTON
ANAHEIM, CA
NPI
1760206528
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2024-11-08
Last Update Date
2024-11-08
Business Address
EDMOND WALTER SHELTON
1320 W PEARL ST
ANAHEIM, CA 92801-5941
Phone number: 714-780-1157
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Mailing Address
EDMOND WALTER SHELTON
1320 W PEARL ST
ANAHEIM, CA 92801-5941
Phone number: 714-780-1174
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