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1740528454
SHELLY NICOLE DEERY
RICHLAND, WA
NPI
1740528454
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
172M00000X Mechanotherapist
(Licence: WA MA60316510)
Enumeration Date
2013-01-30
Last Update Date
2013-01-30
Business Address
Mrs. SHELLY NICOLE DEERY LMP
214 TORBETT ST STE J
RICHLAND, WA 99354-2651
Phone number: 509-942-4597
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Mailing Address
Mrs. SHELLY NICOLE DEERY LMP
214 TORBETT ST STE J
RICHLAND, WA 99354-2651
Phone number: 509-942-4597
Copy
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