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1437575305
SHANNON GUMMO
ASHLAND, OR
NPI
1437575305
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
Enumeration Date
2014-03-14
Last Update Date
2014-03-14
Business Address
SHANNON GUMMO MED
1836 FREMONT ST
ASHLAND, OR 97520-2537
Phone number: 541-482-5792
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Mailing Address
SHANNON GUMMO MED
1836 FREMONT ST
ASHLAND, OR 97520-2537
Phone number: 541-482-5792
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