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1922310606
SHANE ELIOT SEMIN
MEDFORD, OR
NPI
1922310606
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2010-07-09
Last Update Date
2014-12-18
Business Address
Mr. SHANE ELIOT SEMIN CADCI
140 SOUTH HOLLY STREET
MEDFORD, OR 97501
Phone number: 541-774-8200
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Mailing Address
Mr. SHANE ELIOT SEMIN CADCI
140 SOUTH HOLLY STREET
MEDFORD, OR 97501
Phone number: 541-774-8200
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