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1114570892
SHANNON RENEE WELCH
CALDWELL, ID
NPI
1114570892
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2019-07-22
Last Update Date
2019-07-22
Business Address
SHANNON RENEE WELCH
19802 WILDERNESS DR
CALDWELL, ID 83605-8078
Phone number: 208-922-8348
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Mailing Address
SHANNON RENEE WELCH
19476 LORI DR
CALDWELL, ID 83607-9526
Phone number: 208-922-8348
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