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1114549151
SHANNON NICOLE LEE
DEARBORN, MI
NPI
1114549151
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2020-05-13
Last Update Date
2020-05-13
Business Address
SHANNON NICOLE LEE
1360 PORTER ST
DEARBORN, MI 48124-2890
Phone number: 313-689-5581
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Mailing Address
SHANNON NICOLE LEE
1360 PORTER ST
DEARBORN, MI 48124-2890
Phone number: 313-689-5188
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