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1164797759
LISA MARIE SHEPARD
KENT, WA
NPI
1164797759
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
(Licence: WA MA60204242)
Enumeration Date
2012-03-14
Last Update Date
2012-03-14
Business Address
-- LISA MARIE SHEPARD LMP
21245 110TH AVE SE
KENT, WA 98031-2145
Phone number: 253-886-8578
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Mailing Address
-- LISA MARIE SHEPARD LMP
21245 110TH AVE SE
KENT, WA 98031-2145
Phone number: 253-886-8578
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