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1174858898
SHANNON M KENNEALLY
SILVERDALE, WA
NPI
1174858898
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225700000X Massage Therapist
(Licence: WA MA60106210)
Enumeration Date
2009-10-14
Last Update Date
2009-10-14
Business Address
SHANNON M KENNEALLY LMP
3595 NW BUCKLIN HILL RD
SILVERDALE, WA 98383-8503
Phone number: 360-698-3140
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Mailing Address
SHANNON M KENNEALLY LMP
PO BOX 483
SILVERDALE, WA 98383-0483
Phone number: 360-698-3140
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