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1073099875
SHAWTA SACKETT
MOSES LAKE, WA
NPI
1073099875
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: WA AP60867849)
Enumeration Date
2018-07-14
Last Update Date
2018-08-28
Business Address
SHAWTA SACKETT PMHNP-BC
605 S COOLIDGE ST
MOSES LAKE, WA 98837
Phone number: 509-765-0674
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Mailing Address
SHAWTA SACKETT PMHNP-BC
605 S COOLIDGE ST
MOSES LAKE, WA 98837-1893
Phone number: 509-765-0674
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