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1396398228
SHANNON LEE BROCK
SACRAMENTO, CA
NPI
1396398228
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2019-07-19
Last Update Date
2019-07-19
Business Address
SHANNON LEE BROCK
1050 FULTON AVE STE 230
SACRAMENTO, CA 95825-4299
Phone number: 916-974-2599
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Mailing Address
SHANNON LEE BROCK
1050 FULTON AVE STE 230
SACRAMENTO, CA 95825-4299
Phone number: 916-974-2599
Copy
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