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1740996479
SHANNON WAGNER
RUSSELL, KS
NPI
1740996479
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2023-01-26
Last Update Date
2023-01-26
Business Address
SHANNON WAGNER
971 E WICHITA AVE
RUSSELL, KS 67665-2444
Phone number: 785-377-4744
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Mailing Address
SHANNON WAGNER
971 E WICHITA AVE
RUSSELL, KS 67665-2444
Phone number: 785-377-4744
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