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Individual

MADISON TIBBETTS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1230 MONITOR ST, WENATCHEE, WA 98801-3534
(509) 300-1221
Mailing address
7812 E LEAVENWORTH RD, LEAVENWORTH, WA 98826-9315

Taxonomy

Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary

Other

Enumeration date
10/03/2018
Last updated
10/03/2018
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