SHANNON LARSEN

MEDFORD, OR
NPI1245490044
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: OR  12409)
Enumeration Date2008-06-15
Last Update Date2008-06-15
Business Address
-- SHANNON LARSEN
625 STEVENS ST
MEDFORD, OR 97504-6719
Phone number: 541-864-1872
Mailing Address
-- SHANNON LARSEN
625 STEVENS ST
MEDFORD, OR 97504-6719
Phone number:
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