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Individual

SHAWN OVERBY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
105 N 182ND ST, SHORELINE, WA 98133-4308
(206) 799-1301
Mailing address
9930 EVERGREEN WAY STE Z150, EVERETT, WA 98204-3889
(425) 347-5121

Taxonomy

Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
Primary

Other

Enumeration date
12/28/2020
Last updated
12/28/2020
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