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1477050854
SHANNON MARIE GASSER
MATTOON, IL
NPI
1477050854
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Former Name
SHANNON MARIE BURLINGAME
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2018-04-11
Last Update Date
2018-04-11
Business Address
SHANNON MARIE GASSER MHP, LPN
750 BROADWAY AVE E
MATTOON, IL 61938-4610
Phone number: 217-238-5700
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Mailing Address
SHANNON MARIE GASSER MHP, LPN
750 BROADWAY AVE E
MATTOON, IL 61938-4610
Phone number: 217-238-5700
Copy
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