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1326236498
SHANE HAUPT
VANCOUVER, WA
NPI
1326236498
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
(Licence: WA MA00020575)
Enumeration Date
2007-10-13
Last Update Date
2007-10-13
Business Address
Mr. SHANE HAUPT L.M.P.
11701 NE 95TH ST STE C
VANCOUVER, WA 98682-2318
Phone number: 360-513-2654
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Mailing Address
Mr. SHANE HAUPT L.M.P.
3021 NE 72ND DR STE 9-63
VANCOUVER, WA 98661-7300
Phone number: 360-513-2654
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