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1073771879
SHANDA J BOARDMAN
VANCOUVER, WA
NPI
1073771879
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
Enumeration Date
2008-05-28
Last Update Date
2008-05-28
Business Address
SHANDA J BOARDMAN
400 E 33RD ST
VANCOUVER, WA 98663-2238
Phone number: 360-696-2561
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Mailing Address
SHANDA J BOARDMAN
305 W MCLOUGHLIN BLVD APT 4
VANCOUVER, WA 98660-2564
Phone number: 360-696-2561
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