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1568124907
SHANNON NELSON
OREM, UT
NPI
1568124907
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2021-10-13
Last Update Date
2021-10-13
Business Address
SHANNON NELSON
1140 W 1130 S BUILDING B
OREM, UT 84058-8405
Phone number: 801-935-4171
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Mailing Address
SHANNON NELSON
515 S 700 E STE 2A
SALT LAKE CITY, UT 84102-2855
Phone number: 801-935-4171
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