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1720483290
SHANNON KAY BOUGIE
TACOMA, WA
NPI
1720483290
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2014-10-27
Last Update Date
2014-10-27
Business Address
SHANNON KAY BOUGIE
9505 S STEELE ST
TACOMA, WA 98444-1858
Phone number: 253-597-6825
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Mailing Address
SHANNON KAY BOUGIE
1823 5TH ST SW
PUYALLUP, WA 98371-7443
Phone number: 253-597-6825
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