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1578923793
SHANNON RUSSELL
DEERFIELD BEACH, FL
NPI
1578923793
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
222Q00000X Developmental Therapist
Enumeration Date
2016-03-01
Last Update Date
2016-03-01
Business Address
-- SHANNON RUSSELL
500 FAIRWAY DR STE 120
DEERFIELD BEACH, FL 33441-1814
Phone number: 888-880-9270
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Mailing Address
-- SHANNON RUSSELL
500 FAIRWAY DR STE 120
DEERFIELD BEACH, FL 33441-1814
Phone number: 888-880-9270
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