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1225651268
SHANNON M PACKINGHAM
BENTON HARBOR, MI
NPI
1225651268
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2020-05-26
Last Update Date
2020-05-26
Business Address
Mr. SHANNON M PACKINGHAM
1485 M 139
BENTON HARBOR, MI 49022-5711
Phone number: 269-934-0585
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Mailing Address
Mr. SHANNON M PACKINGHAM
1485 M 139
BENTON HARBOR, MI 49022-5711
Phone number: 269-934-0585
Copy
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