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1558072165
SHELLEY CANNON FREDERICK
EL PASO, TX
NPI
1558072165
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
221700000X Art Therapist
(Licence: NC 17-043)
Enumeration Date
2022-12-06
Last Update Date
2022-12-06
Business Address
SHELLEY CANNON FREDERICK
2496 RICKER ROAD
EL PASO, TX 79916
Phone number: 915-742-9558
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Mailing Address
SHELLEY CANNON FREDERICK
2496 RICKER ROAD
EL PASO, TX 79916
Phone number: 915-742-9558
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