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Individual

JONATHAN LEE GAGE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LMP

Contact information

Practice address
739 S MISSION ST, WENATCHEE, WA 98801-3079
(509) 884-4357
Mailing address
739 S MISSION ST, WENATCHEE, WA 98801-3079
(509) 884-4357

Taxonomy

Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
MA60041531
WA
376K00000X
Nurse's Aide
NA60043977
WA

Other

Enumeration date
06/01/2009
Last updated
06/01/2009
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