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1548669500
SHANNON BRECKENRIDGE
MODESTO, CA
NPI
1548669500
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Former Name
SHANNON TURNER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: CA 68828)
Enumeration Date
2014-08-15
Last Update Date
2014-08-15
Business Address
-- SHANNON BRECKENRIDGE
1800 TULLY RD # STUA-2
MODESTO, CA 95350-2946
Phone number: 209-622-1420
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Mailing Address
-- SHANNON BRECKENRIDGE
972 OAK GROVE RD
MODESTO, CA 95351
Phone number:
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