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1861267072
SHANNON BOSTROM
GRAND JUNCTION, CO
NPI
1861267072
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist
(Licence: CO SLP.0003346)
Enumeration Date
2023-11-17
Last Update Date
2024-02-09
Business Address
SHANNON BOSTROM M.S., CCC-SLP
2115 GRAND AVE
GRAND JUNCTION, CO 81501-8007
Phone number: 970-254-4872
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Mailing Address
SHANNON BOSTROM M.S., CCC-SLP
PO BOX 424
MESA, CO 81643-0424
Phone number:
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