SHANE A. WALTER

SILVERDALE, WA
NPI1316915309
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
(Licence: WA  0I1002X171)
Enumeration Date2006-03-08
Last Update Date2007-07-08
Business Address
Mr. SHANE A. WALTER IDC
BHC BANGOR, 2050 BARB ST SUITE A, NAVAL SUBMARINE BASE BANGOR
SILVERDALE, WA 98315-2099
Phone number: 360-315-4356
Mailing Address
Mr. SHANE A. WALTER IDC
790 NE SHOREWOOD CT
POULSBO, WA 98370-8436
Phone number: 360-598-5312
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