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1972190262
JESSICA SHELTON
VANCOUVER, WA
NPI
1972190262
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: WA IR60787157)
Enumeration Date
2020-12-21
Last Update Date
2020-12-21
Business Address
JESSICA SHELTON
2211 NE 139TH ST
VANCOUVER, WA 98686-2742
Phone number: 360-487-4702
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Mailing Address
JESSICA SHELTON
2211 NE 139TH ST
VANCOUVER, WA 98686-2742
Phone number:
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