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1770008500
SHEA MAHAN
PORTALES, NM
NPI
1770008500
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2017-08-14
Last Update Date
2018-05-17
Business Address
SHEA MAHAN B.S.
1500 S AVENUE K
PORTALES, NM 88130
Phone number: 575-562-2156
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Mailing Address
SHEA MAHAN B.S.
3725 TOM WATSON DR
CLOVIS, NM 88101-3155
Phone number: 575-309-1606
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