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1669970083
SHANNON MICHELLE BRAENDER
SAN DIEGO, CA
NPI
1669970083
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2018-01-31
Last Update Date
2018-03-17
Business Address
SHANNON MICHELLE BRAENDER
625 PENNSYLVANIA AVE
SAN DIEGO, CA 92103-4321
Phone number: 858-603-4812
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Mailing Address
SHANNON MICHELLE BRAENDER
2828 MADISON AVE APT 1
SAN DIEGO, CA 92116-3113
Phone number: 619-948-8829
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