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1376563841
SHANNON D STAPLES
TACOMA, WA
NPI
1376563841
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: WA MD00040117)
Enumeration Date
2006-07-20
Last Update Date
2007-07-08
Business Address
-- SHANNON D STAPLES MD
317 MARTIN LUTHER KING JR WAY
TACOMA, WA 98405-4234
Phone number: 253-403-1418
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Mailing Address
-- SHANNON D STAPLES MD
PO BOX 5299 MS: 737-2-PHYS
TACOMA, WA 98415-0299
Phone number: 253-459-7970
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