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Individual

SANDRA GIBB

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMP

Contact information

Practice address
16150 NE 85TH ST, SUITE 120, REDMOND, WA 98052-3539
(425) 785-0310
Mailing address
16150 NE 85TH ST, SUITE 120, REDMOND, WA 98052-3539
(425) 785-0310

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
60173729413
WA

Other

Enumeration date
01/29/2008
Last updated
01/29/2008
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