SHANE RANDAL DAVIS

PULLMAN, WA
NPI1013478759
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101Y00000X Counselor
Additional Taxonomies372600000X Adult Companion
Enumeration Date2019-03-26
Last Update Date2022-08-24
Business Address
SHANE RANDAL DAVIS
340 NE MAPLE ST
PULLMAN, WA 99163-4120
Phone number: 509-334-1133
Mailing Address
SHANE RANDAL DAVIS
340 NE MAPLE ST
PULLMAN, WA 99163-4120
Phone number: 509-334-1133
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