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1821567538
MISTY DAWN SHEPHERD
FRESNO, CA
NPI
1821567538
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2018-11-26
Last Update Date
2018-11-26
Business Address
MISTY DAWN SHEPHERD
2772 MARTIN L KING BLVD
FRESNO, CA 93706
Phone number: 559-265-4800
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Mailing Address
MISTY DAWN SHEPHERD
2772 S MARTIN L KING JR BLVD
FRESNO, CA 93706-5345
Phone number: 559-265-4800
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