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1750570065
SHANNON LORENE PURVIS
SAN JACINTO, CA
NPI
1750570065
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: CA vn 221198)
Enumeration Date
2007-10-23
Last Update Date
2007-10-23
Business Address
-- SHANNON LORENE PURVIS lvn
102 W MAIN ST
SAN JACINTO, CA 92583-4121
Phone number: 951-487-8376
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Mailing Address
-- SHANNON LORENE PURVIS lvn
102 W MAIN ST
SAN JACINTO, CA 92583-4121
Phone number: 951-487-8376
Copy
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