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1770154973
MICHAEL DARRAN SHEA
GRANTS PASS, OR
NPI
1770154973
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
175T00000X Peer Specialist
Enumeration Date
2021-07-08
Last Update Date
2021-07-08
Business Address
MICHAEL DARRAN SHEA QMHA
109 NW MANZANITA AVE
GRANTS PASS, OR 97526
Phone number: 541-476-2373
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Mailing Address
MICHAEL DARRAN SHEA QMHA
1215 SW G ST
GRANTS PASS, OR 97526-2544
Phone number: 541-476-2373
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