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1720554660
KYLE SHANKLE
SNOHOMISH, WA
NPI
1720554660
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: WA OC60896013)
Enumeration Date
2018-10-18
Last Update Date
2018-10-18
Business Address
KYLE SHANKLE
1601 AVENUE D
SNOHOMISH, WA 98290-1718
Phone number: 360-563-7300
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Mailing Address
KYLE SHANKLE
214 161ST ST SE
BOTHELL, WA 98012-6332
Phone number: 425-737-3944
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