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1881464378
SHADAE HELIODORE
LYNNWOOD, WA
NPI
1881464378
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: WA lp61215501)
Enumeration Date
2024-01-05
Last Update Date
2024-01-11
Business Address
SHADAE HELIODORE LVN
14517 40TH AVE W
LYNNWOOD, WA 98087-5502
Phone number: 860-313-9758
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Mailing Address
SHADAE HELIODORE LVN
3725 PROVIDENCE POINT DR SE
ISSAQUAH, WA 98029-7219
Phone number: 425-391-2800
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