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1619307964
LEOTA LYNN GIBSON
AUBURN, WA
NPI
1619307964
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
314000000X Skilled Nursing Facility
(Licence: WA OT 00002387)
Enumeration Date
2013-11-23
Last Update Date
2013-11-23
Business Address
-- LEOTA LYNN GIBSON
4642 S 282ND ST
AUBURN, WA 98001-1110
Phone number: 206-818-9863
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Mailing Address
-- LEOTA LYNN GIBSON
4642 S 282ND ST
AUBURN, WA 98001-1110
Phone number: 206-818-9863
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