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1437624079
SHANNON WAGNER
LA CROSSE, WI
NPI
1437624079
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2018-10-10
Last Update Date
2018-10-10
Business Address
SHANNON WAGNER
901 CALEDONIA ST
LA CROSSE, WI 54603-2616
Phone number: 608-785-4100
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Mailing Address
SHANNON WAGNER
14301 EWING AVE S
BURNSVILLE, MN 55306-4885
Phone number:
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