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1972652550
SHELLY RUSTAND
REDDING, CA
NPI
1972652550
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Former Name
SHELLY PORTUGES
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA IMF 40273)
Enumeration Date
2007-01-10
Last Update Date
2007-07-08
Business Address
-- SHELLY RUSTAND MS
1880 SHASTA ST
REDDING, CA 96001-0417
Phone number: 530-248-3000
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Mailing Address
-- SHELLY RUSTAND MS
1880 SHASTA ST
REDDING, CA 96001-0417
Phone number: 530-248-3000
Copy
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