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1376278515
SHANNON LEANN BROWN
IDAHO FALLS, ID
NPI
1376278515
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Former Name
SHANNON LEANN FONTES
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
222Q00000X Developmental Therapist
Enumeration Date
2022-07-21
Last Update Date
2022-07-21
Business Address
Ms. SHANNON LEANN BROWN
150 SHOUP AVENUE
IDAHO FALLS, ID 83402
Phone number: 208-528-4062
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Mailing Address
Ms. SHANNON LEANN BROWN
150 SHOUP AVENUE
IDAHO FALLS, ID 83402
Phone number: 208-528-4062
Copy
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