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1801004668
SHANNON LYNN TAVERNIER
FISHERS, IN
NPI
1801004668
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist
Enumeration Date
2007-05-17
Last Update Date
2007-07-08
Business Address
SHANNON LYNN TAVERNIER M.A.
10928 PICKET FENCE PL
FISHERS, IN 46037-4118
Phone number: 317-985-9587
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Mailing Address
SHANNON LYNN TAVERNIER M.A.
10928 PICKET FENCE PL
FISHERS, IN 46037-4118
Phone number: 317-985-9587
Copy
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