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1194421792
SHANNON SHEILA LUCAS SELLERS
MODESTO, CA
NPI
1194421792
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: CA 33010)
Enumeration Date
2023-02-06
Last Update Date
2023-02-06
Business Address
Mrs. SHANNON SHEILA LUCAS SELLERS MS, CCC-SLP
159 E ORANGEBURG AVE
MODESTO, CA 95350-5334
Phone number: 209-526-2811
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Mailing Address
Mrs. SHANNON SHEILA LUCAS SELLERS MS, CCC-SLP
5819 CHENAULT DR
MODESTO, CA 95356-9621
Phone number: 209-404-5385
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