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Individual

GAYLE BEAN HOLETON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
7098 ICICLE RD., LEAVENWORTH, WA 98826
(425) 466-4357
Mailing address
PO BOX 365, LEAVENWORTH, WA 98826-0365
(425) 466-4357

Taxonomy

Speciality
Code
Description
License number
State
225600000X
Dance Therapist
Primary
2020
OR

Other

Enumeration date
08/08/2019
Last updated
08/08/2019
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