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1275949299
SHANNON SWARTHOUT
SAINT PAUL, MN
NPI
1275949299
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
324500000X Substance Abuse Rehabilitation Facility
(Licence: MN 303820)
Enumeration Date
2014-07-10
Last Update Date
2014-07-10
Business Address
-- SHANNON SWARTHOUT LADC
135 COLORADO ST E
SAINT PAUL, MN 55107-2244
Phone number: 612-454-2131
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Mailing Address
-- SHANNON SWARTHOUT LADC
490 SKILLMAN AVE E APT 104
MAPLEWOOD, MN 55117-2168
Phone number: 612-454-2321
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