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1487960878
JENNIFER CAROL SHOUP
KIRKLAND, WA
NPI
1487960878
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: WA PA60178872)
Enumeration Date
2010-08-24
Last Update Date
2025-01-28
Business Address
JENNIFER CAROL SHOUP PAC
11400 98TH AVE NE STE 200
KIRKLAND, WA 98033-4306
Phone number: 360-220-2585
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Mailing Address
JENNIFER CAROL SHOUP PAC
1802 S UNION AVE SUITE 200
TACOMA, WA 98405-1947
Phone number: 253-752-6965
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