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1184450306
SHANNON FAGEN
SAN ANTONIO, TX
NPI
1184450306
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2024-09-12
Last Update Date
2024-09-12
Business Address
SHANNON FAGEN
21118 MARKET RDG
SAN ANTONIO, TX 78258-4984
Phone number: 775-301-3434
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Mailing Address
SHANNON FAGEN
21118 MARKET RDG
SAN ANTONIO, TX 78258-4984
Phone number:
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