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Individual

MRS. SHELLEY L. MEHNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMP

Contact information

Practice address
4444 LACEY BLVD SE STE E, OLYMPIA, WA 98503-5730
(360) 915-5574
Mailing address
4444 LACEY BLVD SE STE E, OLYMPIA, WA 98503-5730
(360) 915-5574

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA 00004055
WA

Other

Enumeration date
11/19/2009
Last updated
11/19/2009
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