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1225180698
SHANE R SON
OLYMPIA, WA
NPI
1225180698
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: WA MD00041776)
Enumeration Date
2007-01-17
Last Update Date
2012-10-09
Business Address
Dr. SHANE R SON MD
404 BLACK HILLS LN SW STE D
OLYMPIA, WA 98502-8148
Phone number: 360-528-2100
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Mailing Address
Dr. SHANE R SON MD
PO BOX 12389
OLYMPIA, WA 98508-2389
Phone number: 360-528-2100
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