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1831913821
SHANNON LACEY YERTON
SAN BERNARDINO, CA
NPI
1831913821
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
172V00000X Community Health Worker
Additional Taxonomies
175T00000X Peer Specialist
Enumeration Date
2024-11-14
Last Update Date
2024-12-11
Business Address
SHANNON LACEY YERTON
658 E BRIER DR
SAN BERNARDINO, CA 92408-2880
Phone number: 909-501-0761
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Mailing Address
SHANNON LACEY YERTON
658 E BRIER DR STE 250
SAN BERNARDINO, CA 92408-2875
Phone number: 909-501-0761
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