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Individual

MRS. GWEN DELMORE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMP

Contact information

Practice address
18920 BOTHELL WAY NE, SUITE 204, BOTHELL, WA 98011-1981
(425) 424-3730
(425) 424-2371
Mailing address
1114 164TH ST SE, #C303, MILL CREEK, WA 98012-1700
(425) 485-3036
(425) 424-2371

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA14824
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
5442DE
BLUE SHIELD
WA
Enumeration date
12/05/2006
Last updated
07/08/2007
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