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1477960755
SHAYNE HAYNES
RENTON, WA
NPI
1477960755
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: WA ML60488538)
Enumeration Date
2014-07-17
Last Update Date
2014-07-17
Business Address
-- SHAYNE HAYNES
3915 TALBOT RD S
RENTON, WA 98055-5738
Phone number: 425-656-4224
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Mailing Address
-- SHAYNE HAYNES
PO BOX 34876
SEATTLE, WA 98124-1876
Phone number: 425-656-5412
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