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1285918938
SHANNON M LEACH
EVERETT, WA
NPI
1285918938
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: WA AP60247426)
Enumeration Date
2011-09-29
Last Update Date
2015-11-12
Business Address
-- SHANNON M LEACH ARNP
1700 13TH ST
EVERETT, WA 98201-1689
Phone number: 425-404-5345
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Mailing Address
-- SHANNON M LEACH ARNP
PO BOX 3360
PORTLAND, OR 97208-3360
Phone number: 866-747-2455
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