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1851152300
SHANNON LEE DE ANGELIS
BEND, OR
NPI
1851152300
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
175T00000X Peer Specialist
Enumeration Date
2024-01-22
Last Update Date
2024-01-22
Business Address
SHANNON LEE DE ANGELIS
548 SW 13TH ST
BEND, OR 97702-3184
Phone number: 541-388-8459
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Mailing Address
SHANNON LEE DE ANGELIS
20295 MARINER DR
BEND, OR 97703-7069
Phone number: 503-840-4606
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