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Amy Dawn Shimanek

NPI Registration Record

Provider / OrganizationNPIDate Certified
AMY DAWN SHIMANEK18913001662020-09-13
Entity TypeIndividual
Provider Name Amy Dawn Shimanek
Practice Office Address1570 WILMINGTON DR
DUPONT, WA US
Practice Office Telephone3604640114
Mailing Address310 DIVISION ST NW
OLYMPIA, WA 985024918 US
Business Telephone3604640114
HPT Codes
CodeLicense NoState
106S00000X PRIMARY
OPI Codes

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