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1689336182
SHANNON LEIGH IBBOTSON
LONGMONT, CO
NPI
1689336182
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Former Name
SHANNON LEIGH WOOLDRIDGE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2021-10-12
Last Update Date
2021-10-12
Business Address
SHANNON LEIGH IBBOTSON RBT
1233 SHERMAN DR
LONGMONT, CO 80501-6133
Phone number: 720-449-6676
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Mailing Address
SHANNON LEIGH IBBOTSON RBT
1233 SHERMAN DR
LONGMONT, CO 80501-6133
Phone number: 720-449-6676
Copy
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