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Individual
SARAH LYNN GUSTAFSON
Active
Individual
SARAH LYNN GUSTAFSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00009125
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2034653
INTERNAL ID-MOTOR VEHICLE ID
—
05
—
8337628
—
WA
Enumeration date
10/27/2006
Last updated
07/08/2007
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