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1255990628
SHENANDOAH J HALLSTROM
LONGVIEW, WA
NPI
1255990628
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
376K00000X Nurse's Aide
(Licence: WA 60636616)
Enumeration Date
2019-06-10
Last Update Date
2019-06-10
Business Address
SHENANDOAH J HALLSTROM
720 14TH AVE
LONGVIEW, WA 98632-2315
Phone number: 360-353-9840
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Mailing Address
SHENANDOAH J HALLSTROM
PO BOX 1847
LONGVIEW, WA 98632-8140
Phone number: 360-423-0203
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