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Individual

MRS. SHANON AUTUMN COX

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMP

Contact information

Practice address
459 N 36TH ST, SEATTLE, WA 98103-8630
(425) 923-5496
(206) 789-8867
Mailing address
234 NW 55TH ST, SEATTLE, WA 98107-2064
(425) 923-5496
(206) 789-8867

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00015076
WA

Other

Enumeration date
01/16/2007
Last updated
07/08/2007
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