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1891054961
MARVIN BOYD SHANNON
GRAPEVINE, TX
NPI
1891054961
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: TX 64099)
Enumeration Date
2012-05-10
Last Update Date
2012-05-10
Business Address
Mr. MARVIN BOYD SHANNON L.P.C.
400 N MAIN ST SUITE 104
GRAPEVINE, TX 76051-3300
Phone number: 817-360-2300
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Mailing Address
Mr. MARVIN BOYD SHANNON L.P.C.
400 N MAIN ST SUITE 104
GRAPEVINE, TX 76051-3300
Phone number: 817-360-2300
Copy
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