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1124535760
SHANNA DETRICK
PENDLETON, OR
NPI
1124535760
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2018-01-04
Last Update Date
2018-01-04
Business Address
SHANNA DETRICK
2575 WESTGATE BLDG 2
PENDLETON, OR 97801-9613
Phone number: 541-240-8030
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Mailing Address
SHANNA DETRICK
702 SUNSET DR
ONTARIO, OR 97914-3121
Phone number:
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