MICHAEL GIBBONS

BONNEY LAKE, WA
NPI1083825905
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225700000X Massage Therapist
(Licence: WA  MA00013609)
Enumeration Date2007-05-24
Last Update Date2007-07-08
Business Address
Mr. MICHAEL GIBBONS LMP
19102 STATE ROUTE 410 E STE A
BONNEY LAKE, WA 98391-8449
Phone number: 253-863-6378
Mailing Address
Mr. MICHAEL GIBBONS LMP
P.O. BOX 1413
PUYALLUP, WA 98371-0204
Phone number: 253-863-6378
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