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Justin Shannon
NPI 1710344247 · on the registry since 2016 · sole proprietor
Practice
- Address
- 3106 84th St S
Lakewood, WA 98499 - Phone
- (253) 588-7180
Registry record
- Primary taxonomy
- 372600000X
372600000X
- Sex
- Male
- Record last updated
- 2016-01-28
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington