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Individual

JANE GICHERO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
4001 CAPITAL MALL DR SW, OLYMPIA, WA 98502-8657
(360) 754-9792
(360) 754-2455
Mailing address
2500 S 272ND ST APT C35, KENT, WA 98032-7970
(913) 526-0712

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
P1 60658607
WA

Other

Enumeration date
08/09/2016
Last updated
08/09/2016
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