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1518463405
SHANNON LISA BUSHNELL
OLYMPIA, WA
NPI
1518463405
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225700000X Massage Therapist
(Licence: WA MA60828927)
Enumeration Date
2018-04-01
Last Update Date
2018-04-01
Business Address
SHANNON LISA BUSHNELL LMT
424 CUSHING ST NW
OLYMPIA, WA 98502-4842
Phone number: 360-250-8141
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Mailing Address
SHANNON LISA BUSHNELL LMT
PO BOX 11641
OLYMPIA, WA 98508-1641
Phone number: 360-250-8141
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