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1780089243
DAVID SHOUP
SAN LEANDRO, CA
NPI
1780089243
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2014-10-27
Last Update Date
2014-10-27
Business Address
-- DAVID SHOUP
3081 TEAGARDEN ST
SAN LEANDRO, CA 94577-5720
Phone number: 510-347-4620
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Mailing Address
-- DAVID SHOUP
3081 TEAGARDEN ST
SAN LEANDRO, CA 94577-5720
Phone number: 510-347-4620
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