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1013622000
SHASTA LYNN EDMONDS
MT JULIET, TN
NPI
1013622000
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2023-01-16
Last Update Date
2023-01-16
Business Address
Ms. SHASTA LYNN EDMONDS
401 S MOUNT JULIET RD STE 235-118
MT JULIET, TN 37122-6359
Phone number: 703-506-0123
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Mailing Address
Ms. SHASTA LYNN EDMONDS
938 TINY TOWN RD
CLARKSVILLE, TN 37042-4602
Phone number:
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