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1134995301
KOBE PHILLIP SHANNON
GRAND RAPIDS, MI
NPI
1134995301
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2023-11-29
Last Update Date
2023-11-29
Business Address
KOBE PHILLIP SHANNON
4234 CASCADE RD SE STE 3
GRAND RAPIDS, MI 49546-8384
Phone number: 877-654-4144
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Mailing Address
KOBE PHILLIP SHANNON
4234 CASCADE RD SE STE 3
GRAND RAPIDS, MI 49546-8384
Phone number: 877-654-4144
Copy
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