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1205535804
JACKIE SHAFFER
SHELTON, WA
NPI
1205535804
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: WA LP60198375)
Enumeration Date
2023-03-02
Last Update Date
2023-03-02
Business Address
JACKIE SHAFFER
307 W COTA ST
SHELTON, WA 98584-2265
Phone number: 360-205-8010
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Mailing Address
JACKIE SHAFFER
307 W COTA ST
SHELTON, WA 98584-2265
Phone number: 360-205-8010
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