Individual
MRS. BROOK LYN GULLICKSON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
ATC, CSCS
Contact information
Practice address
1015 NE HOSTMARK ST, SUITE 101, POULSBO, WA 98370-6204
(360) 697-7726
Mailing address
769 TUFTS AVE E, PORT ORCHARD, WA 98366-4060
(360) 871-0799
(360) 871-0799
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
11/04/2005
Last updated
07/08/2007
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