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Individual

DORI LYNN SHANE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
12826 NE 203RD PL, BOTHELL, WA 98011-7613
(425) 745-4345
Mailing address
12826 NE 203RD PL, BOTHELL, WA 98011-7613

Taxonomy

Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
RN00101355
WA

Other

Enumeration date
01/03/2025
Last updated
01/03/2025
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