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1336610609
SHAWN MICHAEL REYNOLDS
FIFE, WA
NPI
1336610609
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
175T00000X Peer Specialist
(Licence: WA CG60364461)
Enumeration Date
2018-12-16
Last Update Date
2018-12-16
Business Address
SHAWN MICHAEL REYNOLDS
2150 FREEMAN RD E
FIFE, WA 98424-3776
Phone number: 253-942-5644
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Mailing Address
SHAWN MICHAEL REYNOLDS
2150 FREEMAN RD E
FIFE, WA 98424-3776
Phone number: 253-942-5644
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