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1205614633
KIRSTIE A SHANNON
COLUMBUS, OH
NPI
1205614633
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2023-09-18
Last Update Date
2023-09-18
Business Address
KIRSTIE A SHANNON
3070 RIVERSIDE DR STE 200
COLUMBUS, OH 43221-2547
Phone number: 866-523-4268
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Mailing Address
KIRSTIE A SHANNON
850 TOWBIN AVE
LAKEWOOD, NJ 08701-5928
Phone number: 866-523-4268
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