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1942398524
SHAWN MIKEAL FETTIG
VANCOUVER, WA
NPI
1942398524
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122400000X Denturist
(Licence: WA ON00000393)
Enumeration Date
2006-10-10
Last Update Date
2007-07-08
Business Address
Mr. SHAWN MIKEAL FETTIG LD
2701 NE 114 AVE #K6
VANCOUVER, WA 98684-4289
Phone number: 360-892-7107
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Mailing Address
Mr. SHAWN MIKEAL FETTIG LD
2701 NE 114 AVE #K6
VANCOUVER, WA 98684-4289
Phone number: 360-892-7107
Copy
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