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1184144768
TREVOR SHANE KWAN
SHELTON, WA
NPI
1184144768
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: WA OP60992141)
Enumeration Date
2017-06-23
Last Update Date
2020-11-17
Business Address
Dr. TREVOR SHANE KWAN D.O.
1701 N 13TH ST
SHELTON, WA 98584-2077
Phone number: 360-426-2653
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Mailing Address
Dr. TREVOR SHANE KWAN D.O.
1701 N 13TH ST
SHELTON, WA 98584-2077
Phone number: 360-426-2653
Copy
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