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1760804785
SHANA COLT
SPOKANE, WA
NPI
1760804785
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Former Name
SHANA MICHELLE WHORTON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: WA PA60596888)
Enumeration Date
2014-01-09
Last Update Date
2015-10-12
Business Address
-- SHANA COLT
105 W 8TH AVE SUITE 200
SPOKANE, WA 99204-2302
Phone number: 509-624-9112
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Mailing Address
-- SHANA COLT
PO BOX 421
LIBERTY LAKE, WA 99019-0421
Phone number: 866-747-2455
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