Individual
GIDEON NEWKIRK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
802 W MAIN ST, CENTRALIA, WA 98531-2849
(360) 736-6263
Mailing address
2015 DELANO RD, CENTRALIA, WA 98531-2044
(360) 807-1026
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA 60414378
WA
Other
Enumeration date
05/01/2014
Last updated
05/01/2014
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