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1295388080
SHANNON MOONEY
IDAHO FALLS, ID
NPI
1295388080
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Former Name
SHANNON GRAY
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
261QD1600X Clinic/Center, Developmental Disabilities
Enumeration Date
2019-07-20
Last Update Date
2019-07-20
Business Address
SHANNON MOONEY Behavior Specialist
376 5TH ST
IDAHO FALLS, ID 83401-4762
Phone number: 208-403-1559
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Mailing Address
SHANNON MOONEY Behavior Specialist
376 5TH ST
IDAHO FALLS, ID 83401-4762
Phone number: 208-403-1559
Copy
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