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1063632685
TAMI LARAE GIBSON
SELAH, WA
NPI
1063632685
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
247200000X Technician, Other
(Licence: WA MA00018268)
Enumeration Date
2007-04-26
Last Update Date
2007-07-08
Business Address
MS. TAMI LARAE GIBSON LMT
107 W NACHES AVE
SELAH, WA 98942-1323
Phone number: 509-945-9818
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Mailing Address
MS. TAMI LARAE GIBSON LMT
107 W NACHES AVE
SELAH, WA 98942-1323
Phone number: 509-945-9818
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