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1891530564
MALISA SHELLMAN
LAKEWOOD, WA
NPI
1891530564
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: WA LP61220017)
Enumeration Date
2024-06-26
Last Update Date
2024-07-05
Business Address
MALISA SHELLMAN
9500 FRONT ST S STE 100
LAKEWOOD, WA 98499-9415
Phone number: 253-393-2483
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Mailing Address
MALISA SHELLMAN
6306 E SARAZEN ST SE
LACEY, WA 98513-8301
Phone number: 360-688-0277
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