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1235802273
SAMANTHA LANE SHOOPMAN
TACOMA, WA
NPI
1235802273
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: FL 11008245)
Enumeration Date
2021-07-27
Last Update Date
2023-09-21
Business Address
SAMANTHA LANE SHOOPMAN ARNP
509 N YAKIMA AVE APT 105
TACOMA, WA 98403-2316
Phone number: 407-579-1221
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Mailing Address
SAMANTHA LANE SHOOPMAN ARNP
509 N YAKIMA AVE APT 105
TACOMA, WA 98403-2316
Phone number: 407-579-1221
Copy
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