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1801657317
MARC CLINT TAN-SHUTTLEWORTH
FRESNO, CA
NPI
1801657317
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA R1518560823)
Enumeration Date
2024-01-22
Last Update Date
2024-01-22
Business Address
MARC CLINT TAN-SHUTTLEWORTH
2550 W CLINTON AVE UNIT 311
FRESNO, CA 93705-4218
Phone number: 559-264-7521
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Mailing Address
MARC CLINT TAN-SHUTTLEWORTH
2550 W CLINTON AVE UNIT 311
FRESNO, CA 93705-4218
Phone number: 559-264-7521
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