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1992253009
SHAWN LAURITZ MILLER
SIMI VALLEY, CA
NPI
1992253009
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
324500000X Substance Abuse Rehabilitation Facility
(Licence: CA 560051AP)
Enumeration Date
2016-09-18
Last Update Date
2016-09-18
Business Address
-- SHAWN LAURITZ MILLER owner
3069 CISCO CT
SIMI VALLEY, CA 93063-1809
Phone number: 805-624-7700
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Mailing Address
-- SHAWN LAURITZ MILLER owner
3069 CISCO CT
SIMI VALLEY, CA 93063-1809
Phone number: 805-624-7700
Copy
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