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1972801975
SHANNON THOMAS
DELTONA, FL
NPI
1972801975
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2011-03-01
Last Update Date
2011-03-01
Business Address
Mr. SHANNON THOMAS
880 E LEHIGH DR
DELTONA, FL 32738-7733
Phone number: 386-259-4985
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Mailing Address
Mr. SHANNON THOMAS
880 E LEHIGH DR
DELTONA, FL 32738-7733
Phone number: 386-259-4985
Copy
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