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1881883593
SHANNON ADAM BOUSTEAD
BELLINGHAM, WA
NPI
1881883593
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: WA MD60099520)
Enumeration Date
2007-10-18
Last Update Date
2024-08-15
Business Address
SHANNON ADAM BOUSTEAD M.D.
4455 CORDATA PKWY
BELLINGHAM, WA 98226-8037
Phone number: 360-671-3225
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Mailing Address
SHANNON ADAM BOUSTEAD M.D.
1401 MADISON ST
SEATTLE, WA 98104-1316
Phone number: 206-541-4431
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