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1528663903
TARA ROSE SHANNON
LOS ANGELES, CA
NPI
1528663903
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2020-12-02
Last Update Date
2020-12-02
Business Address
Ms. TARA ROSE SHANNON
1545 SAWTELLE BLVD STE 31
LOS ANGELES, CA 90025-3272
Phone number: 949-474-1493
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Mailing Address
Ms. TARA ROSE SHANNON
7704 ROMAINE ST APT 7
WEST HOLLYWOOD, CA 90046-6228
Phone number: 845-367-1034
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