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1013698422
KEVIN SHANNON
SOUTHGATE, MI
NPI
1013698422
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
175T00000X Peer Specialist
Enumeration Date
2023-07-27
Last Update Date
2023-07-27
Business Address
KEVIN SHANNON
13101 ALLEN RD
SOUTHGATE, MI 48195-2216
Phone number: 734-785-7700
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Mailing Address
KEVIN SHANNON
2956 SAINT PAUL ST
TRENTON, MI 48183-3603
Phone number: 313-139-4687
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