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1679815484
SHANE TIMOTHY SMITH
BELLINGHAM, WA
NPI
1679815484
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2013-03-19
Last Update Date
2013-03-19
Business Address
-- SHANE TIMOTHY SMITH
4629 CELIA WAY APT 202
BELLINGHAM, WA 98226-7475
Phone number: 360-929-5964
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Mailing Address
-- SHANE TIMOTHY SMITH
4629 CELIA WAY APT 202
BELLINGHAM, WA 98226-7475
Phone number: 360-929-5964
Copy
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