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Organization
SHANLEE STEPHENS
Active
Organization
SHANLEE STEPHENS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANLEE STEPHENS (MASSAGE PRACTITIONER)
(425) 314-6781
Entity
Organization
Contact information
Practice address
25 95TH DR NE, SUITE 105, LAKE STEVENS, WA 98258-7976
(425) 334-9137
Mailing address
1603 E LAKESHORE DR, APT 3, LAKE STEVENS, WA 98258-9215
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60548922
WA
Other
Enumeration date
08/25/2015
Last updated
08/25/2015
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