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1942508163
SHAWN WILLIAM PETERSON
SANTA CRUZ, CA
NPI
1942508163
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2011-03-11
Last Update Date
2015-10-20
Business Address
-- SHAWN WILLIAM PETERSON
941 EL DORADO AVE
SANTA CRUZ, CA 95062-2863
Phone number: 831-251-5699
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Mailing Address
-- SHAWN WILLIAM PETERSON
941 EL DORADO AVE
SANTA CRUZ, CA 95062-2863
Phone number: 831-251-5699
Copy
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