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1194853036
SHANNON C FULLER
BELLINGHAM, WA
NPI
1194853036
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
(Licence: WA MA00017407)
Enumeration Date
2007-03-01
Last Update Date
2014-06-16
Business Address
-- SHANNON C FULLER LMP
120 PROSPECT ST STE 1
BELLINGHAM, WA 98225-4428
Phone number: 360-303-8961
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Mailing Address
-- SHANNON C FULLER LMP
120 PROSPECT ST STE 1
BELLINGHAM, WA 98225-4428
Phone number: 360-303-8961
Copy
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