Individual
MRS. CECILE R GAGNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.P.
Contact information
Practice address
821 HARVEY RD, AUBURN, WA 98002-4225
(253) 833-1833
(253) 833-4642
Mailing address
19507 99TH ST. CT. E., BONNEY LAKE, WA 98391
(253) 833-1833
(253) 833-4642
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
MA00012142
WA
Other
Enumeration date
05/09/2007
Last updated
07/08/2007
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