Larry James Shafer

NPI 1174717706 - Counselor - 101YA0400X

NPI Details
NPI 1174717706
Gender Male
Enumeration Date 08/27/2007
Last Updated 09/04/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
115 E FESLER ST
SANTA MARIA CA, 93454-4404, US
Phone (805) 922-6597
Fax
Business Location
316 EL CALLE JON
SANTA MARIA CA, 93454-4719, US
Phone (805) 720-3774
Fax
Toxanomy
Taxonomy Code 101YA0400X
License State
License Number
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According to our database, Mr. Larry James Shafer NPI is 1174717706, taxonomy code is 101YA0400X Larry James Shafer physically located at 115 E Fesler St, Santa Maria CA, 93454-4404. NPI Number Larry James Shafer has the Individual type.

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1174717706 NPI number is provided on an as is basis without warranty of any kind. 1174717706 is maintained by the National Plan & Provider Enumeration System. The contents of Larry James Shafer are for informational purposes only.