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1710658547
BEAU D SHATTUCK
LACEY, WA
NPI
1710658547
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
175T00000X Peer Specialist
Enumeration Date
2021-09-22
Last Update Date
2021-09-22
Business Address
BEAU D SHATTUCK
612 WOODLAND SQUARE LOOP SE STE 401
LACEY, WA 98503-1070
Phone number: 360-763-5828
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Mailing Address
BEAU D SHATTUCK
612 WOODLAND SQUARE LOOP SE STE 401
LACEY, WA 98503-1070
Phone number: 360-763-5796
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