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1366912107
SHANTEL M GEROW
COLVILLE, WA
NPI
1366912107
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
(Licence: WA SA60306954)
Enumeration Date
2018-12-04
Last Update Date
2019-06-11
Business Address
SHANTEL M GEROW
165 E HAWTHORNE AVE
COLVILLE, WA 99114-2629
Phone number: 509-684-4597
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Mailing Address
SHANTEL M GEROW
165 E HAWTHORNE AVE
COLVILLE, WA 99114-2629
Phone number: 509-684-4597
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