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1124590542
SHAYNE DIANNE FREEMAN
OMAK, WA
NPI
1124590542
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
(Licence: WA CG60527163)
Enumeration Date
2018-12-24
Last Update Date
2018-12-24
Business Address
SHAYNE DIANNE FREEMAN BA
1007 KOALA DR
OMAK, WA 98841-9247
Phone number: 509-826-6191
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Mailing Address
SHAYNE DIANNE FREEMAN BA
1007 KOALA DR
OMAK, WA 98841-9247
Phone number: 509-826-6191
Copy
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