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1578271375
SHANNISE L STEVENSON
SACRAMENTO, CA
NPI
1578271375
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2022-11-10
Last Update Date
2022-11-10
Business Address
SHANNISE L STEVENSON
5641 VISTA OAK WAY
SACRAMENTO, CA 95842-2264
Phone number: 916-417-9809
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Mailing Address
SHANNISE L STEVENSON
5641 VISTA OAK WAY
SACRAMENTO, CA 95842-2264
Phone number: 916-417-9809
Copy
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