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Individual

SHANNON MARIE BILLAU

Active
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Individual

SHANNON MARIE BILLAU

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.O.

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5101017650
MI
207Q00000X
Family Medicine Physician
Primary
OP60237212
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0283411
LABOR AND INDUSTIRES
WA
Enumeration date
10/17/2008
Last updated
04/27/2026
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