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Individual
MAUREEN M GILLETTE
Active
Individual
MAUREEN M GILLETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00009061
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0039585
LABOR AND INDUSTRIES #
WA
01
—
0333PI
BLUE SHIELD #
WA
05
—
8455990
—
WA
Enumeration date
01/18/2007
Last updated
04/10/2008
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