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1558722280
BRIAN SHANNON
BEND, OR
NPI
1558722280
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: OR C7238)
Enumeration Date
2016-03-08
Last Update Date
2023-10-05
Business Address
BRIAN SHANNON MA
1133 NW WALL ST STE 6
BEND, OR 97703-1962
Phone number: 541-581-0394
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Mailing Address
BRIAN SHANNON MA
2157 NW QUINCE CT
REDMOND, OR 97756-7657
Phone number: 541-581-0394
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