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1629430228
SHANETTE BRUCE OWEN
KENNEWICK, WA
NPI
1629430228
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Former Name
SHANETTE JEAN OWEN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: WA OL60849496)
Enumeration Date
2016-03-23
Last Update Date
2021-09-22
Business Address
SHANETTE BRUCE OWEN
6351 W RIO GRANDE AVE
KENNEWICK, WA 99336-7634
Phone number: 509-543-9280
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Mailing Address
SHANETTE BRUCE OWEN
6351 W RIO GRANDE AVE
KENNEWICK, WA 99336-7634
Phone number: 509-543-9280
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