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1730209909
SHANNON CARRICO
PENDLETON, OR
NPI
1730209909
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2007-03-30
Last Update Date
2007-07-08
Business Address
-- SHANNON CARRICO QMHA
331 SE 2ND ST
PENDLETON, OR 97801-2224
Phone number: 541-276-6207
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Mailing Address
-- SHANNON CARRICO QMHA
PO BOX 1290
ONTARIO, OR 97914-0136
Phone number: 541-889-9167
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