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1730714320
SHANNON ELISE WILSON
SAN DIEGO, CA
NPI
1730714320
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2020-03-04
Last Update Date
2020-03-04
Business Address
SHANNON ELISE WILSON
5333 MISSION CENTER RD STE 110
SAN DIEGO, CA 92108-1347
Phone number: 619-278-0884
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Mailing Address
SHANNON ELISE WILSON
16782 VON KARMAN AVE STE 11
IRVINE, CA 92606-2417
Phone number: 949-833-2237
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