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Individual

GABRIELLE WEBBER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
1601 E 4TH PLAIN BLVD, VANCOUVER, WA 98661-3713
(360) 696-4061
Mailing address
1819 NE 84TH WAY, VANCOUVER, WA 98665-9781
(503) 953-3003

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
201906832LPN
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
201906832LPN
LPN
OR
Enumeration date
03/28/2021
Last updated
03/28/2021
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