AMETHYST SHEPHERD

OLYMPIA, WA
NPI1548645963
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: ID  AT-485)
Enumeration Date2015-07-27
Last Update Date2015-07-27
Business Address
-- AMETHYST SHEPHERD
6120 MULLEN RD SE
OLYMPIA, WA 98503-7147
Phone number: 443-254-1149
Mailing Address
-- AMETHYST SHEPHERD
1060 CENTRAL ST SE
OLYMPIA, WA 98501-1763
Phone number: 443-254-1149
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