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1073357851
SHANNON NICOLE LIND
BEND, OR
NPI
1073357851
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
175T00000X Peer Specialist
(Licence: OR 24-CRM-3373)
Enumeration Date
2024-06-25
Last Update Date
2024-06-25
Business Address
SHANNON NICOLE LIND
389 SW SCALEHOUSE CT
BEND, OR 97702-3241
Phone number: 541-306-4446
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Mailing Address
SHANNON NICOLE LIND
63224 LANCASTER ST
BEND, OR 97701-7149
Phone number: 458-256-1611
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