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1114410867
SHANNON BENNETT
MERRILLVILLE, IN
NPI
1114410867
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2018-06-07
Last Update Date
2018-06-07
Business Address
SHANNON BENNETT
8200 GEORGIA ST
MERRILLVILLE, IN 46410-6227
Phone number: 219-791-1400
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Mailing Address
SHANNON BENNETT
8200 GEORGIA ST
MERRILLVILLE, IN 46410-6227
Phone number: 219-791-1400
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