Individual
MOLLY BURKE CHAMP-GIBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
105 K ST NE, AUBURN, WA 98002-4442
(253) 561-9452
Mailing address
105 K ST NE, AUBURN, WA 98002-4442
(253) 561-9452
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
04/11/2018
Last updated
04/11/2018
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