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1760211213
SHANNEL L LEWIS
SAN DIEGO, CA
NPI
1760211213
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2024-07-31
Last Update Date
2024-07-31
Business Address
SHANNEL L LEWIS
3878 RUFFIN RD STE B
SAN DIEGO, CA 92123-1842
Phone number: 619-739-4569
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Mailing Address
SHANNEL L LEWIS
3277 BERGER AVE APT 92
SAN DIEGO, CA 92123-1942
Phone number: 858-221-2654
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