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1316126170
EBONY SHANNON
SANTA MONICA, CA
NPI
1316126170
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2007-10-29
Last Update Date
2007-10-29
Business Address
-- EBONY SHANNON
1328 2ND ST
SANTA MONICA, CA 90401-1122
Phone number: 310-394-6889
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Mailing Address
-- EBONY SHANNON
1327 S WESTGATE AVE APT 204
LOS ANGELES, CA 90025-1490
Phone number: 805-490-2417
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