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1376216036
SHANNON LAELA JOHNSON
INDIANAPOLIS, IN
NPI
1376216036
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2021-07-28
Last Update Date
2021-07-28
Business Address
SHANNON LAELA JOHNSON
8350 CRAIG ST
INDIANAPOLIS, IN 46250-3593
Phone number: 317-578-0410
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Mailing Address
SHANNON LAELA JOHNSON
8350 CRAIG ST
INDIANAPOLIS, IN 46250-3593
Phone number: 317-578-0410
Copy
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