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1902150733
NANCY JAN SHAW
VANCOUVER, WA
NPI
1902150733
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
126800000X Dental Assistant
(Licence: WA D160046146)
Enumeration Date
2012-10-31
Last Update Date
2012-10-31
Business Address
Ms. NANCY JAN SHAW
14406 NE 20TH AVE
VANCOUVER, WA 98686-1448
Phone number: 360-571-3139
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Mailing Address
Ms. NANCY JAN SHAW
2707 FALK RD
VANCOUVER, WA 98661-5601
Phone number: 360-695-3665
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