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1184213548
SHANNON CHRISTINE ROOT
BURNS, OR
NPI
1184213548
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2021-01-11
Last Update Date
2021-01-11
Business Address
SHANNON CHRISTINE ROOT
348 W ADAMS ST
BURNS, OR 97720-1710
Phone number: 541-573-8376
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Mailing Address
SHANNON CHRISTINE ROOT
348 W ADAMS ST
BURNS, OR 97720-1710
Phone number: 541-573-8376
Copy
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