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1326474693
SHANNON S FARAZI
PUYALLUP, WA
NPI
1326474693
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist General Practice
(Licence: WA DE 60391320)
Enumeration Date
2013-09-18
Last Update Date
2017-04-19
Business Address
DR. SHANNON S FARAZI D.M.D.
10217 125TH STREET CT E
PUYALLUP, WA 98374-2761
Phone number: 253-864-4760
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Mailing Address
DR. SHANNON S FARAZI D.M.D.
10217 125TH STREET CT E
PUYALLUP, WA 98374-2761
Phone number:
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