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1528676962
SHELBY M HEREDIA
INDIANAPOLIS, IN
NPI
1528676962
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Additional Taxonomies
171M00000X Case Manager/Care Coordinator
Enumeration Date
2020-07-22
Last Update Date
2022-11-28
Business Address
SHELBY M HEREDIA
8350 CRAIG ST
INDIANAPOLIS, IN 46250-3593
Phone number: 317-578-0410
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Mailing Address
SHELBY M HEREDIA
8205 SPAIN RD NE STE 106
ALBUQUERQUE, NM 87109-3155
Phone number: 505-856-0300
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