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1992405617
SHANNON SMITH
SAN DIEGO, CA
NPI
1992405617
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2023-03-09
Last Update Date
2023-03-09
Business Address
SHANNON SMITH
3132 JEFFERSON ST
SAN DIEGO, CA 92110-4421
Phone number: 619-683-3100
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Mailing Address
SHANNON SMITH
3132 JEFFERSON ST
SAN DIEGO, CA 92110-4421
Phone number: 619-683-3100
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