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1740068758
SHANNON ROUSSOS
SACRAMENTO, CA
NPI
1740068758
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Former Name
SHANNON JOHNSON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163WL0100X Registered Nurse, Lactation Consultant
(Licence: CA 675696)
Enumeration Date
2023-09-20
Last Update Date
2023-09-20
Business Address
Mrs. SHANNON ROUSSOS IBCLC
2479 MABRY DR
SACRAMENTO, CA 95835-1513
Phone number: 443-257-7846
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Mailing Address
Mrs. SHANNON ROUSSOS IBCLC
2479 MABRY DR
SACRAMENTO, CA 95835-1513
Phone number: 443-257-7846
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