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1215702568
DERRION SHANNON
ELYRIA, OH
NPI
1215702568
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2023-11-16
Last Update Date
2023-11-16
Business Address
DERRION SHANNON
123 TAFT AVE
ELYRIA, OH 44035-3545
Phone number: 440-444-5357
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Mailing Address
DERRION SHANNON
123 TAFT AVE
ELYRIA, OH 44035-3545
Phone number: 440-444-5357
Copy
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