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1700354214
SHANNON ANTHONY PEREIRA
SAN DIEGO, CA
NPI
1700354214
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2018-11-02
Last Update Date
2018-11-02
Business Address
SHANNON ANTHONY PEREIRA
7090 MIRATECH DR
SAN DIEGO, CA 92121-3109
Phone number: 858-304-6440
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Mailing Address
SHANNON ANTHONY PEREIRA
7090 MIRATECH DR
SAN DIEGO, CA 92121-3109
Phone number:
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