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1114574456
SHANNON BROUGHTON
COLORADO SPRINGS, CO
NPI
1114574456
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2019-08-21
Last Update Date
2019-08-21
Business Address
SHANNON BROUGHTON
4760 FLINTRIDGE DR STE 125
COLORADO SPRINGS, CO 80918-4259
Phone number: 719-465-3695
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Mailing Address
SHANNON BROUGHTON
4760 FLINTRIDGE DR STE 125
COLORADO SPRINGS, CO 80918-4259
Phone number: 719-465-3695
Copy
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