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1053945717
SHANNON GAUTIER
CLINTON, MS
NPI
1053945717
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2020-03-02
Last Update Date
2020-03-02
Business Address
SHANNON GAUTIER
209 HUNTINGTON HILL DR
CLINTON, MS 39056-6322
Phone number: 601-259-8003
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Mailing Address
SHANNON GAUTIER
PO BOX 701
CLINTON, MS 39060-0701
Phone number:
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