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1952010456
JASMINE MICHELLE SHANNON
MADERA, CA
NPI
1952010456
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2022-11-23
Last Update Date
2022-11-23
Business Address
JASMINE MICHELLE SHANNON
1915 HOWARD RD STE B&C
MADERA, CA 93637-5163
Phone number: 559-330-2211
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Mailing Address
JASMINE MICHELLE SHANNON
2937 PLUMAS ST
MADERA, CA 93637-8814
Phone number: 559-373-4661
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