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1104109370
SHANNON ELISABETH PERCIVAL
AUBURN, WA
NPI
1104109370
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: WA PA60246035)
Enumeration Date
2011-09-23
Last Update Date
2011-09-23
Business Address
Miss SHANNON ELISABETH PERCIVAL PA-c
202 N DIVISION ST
AUBURN, WA 98001-4939
Phone number: 253-333-2564
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Mailing Address
Miss SHANNON ELISABETH PERCIVAL PA-c
4950 CORSON AVE S
SEATTLE, WA 98108-1835
Phone number: 206-799-9647
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