SHANE D MARQUARDT

MILL CREEK, WA
NPI1538847629
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: WA  60680370)
Enumeration Date2023-07-07
Last Update Date2023-07-07
Business Address
SHANE D MARQUARDT
15418 MAIN ST
MILL CREEK, WA 98012-9030
Phone number: 425-742-6034
Mailing Address
SHANE D MARQUARDT
15418 MAIN ST UNIT M106
MILL CREEK, WA 98012-9021
Phone number: 425-742-6034
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