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1851625214
SHANNON LEE HEATON
CASPER, WY
NPI
1851625214
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
251C00000X Day Training, Developmentally Disabled Services
Enumeration Date
2009-10-01
Last Update Date
2009-10-01
Business Address
SHANNON LEE HEATON
3415 MONTE VISTA DR.
CASPER, WY 82601
Phone number: 307-472-1762
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Mailing Address
SHANNON LEE HEATON
3415 MONTE VISTA DR.
CASPER, WY 82601
Phone number: 307-472-1762
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