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1700658309
LACEY AMANDA GOSENBERG
LAKEWOOD, WA
NPI
1700658309
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-10-26
Last Update Date
2023-10-26
Business Address
LACEY AMANDA GOSENBERG
9330 59TH AVE SW
LAKEWOOD, WA 98499-2858
Phone number: 253-581-7020
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Mailing Address
LACEY AMANDA GOSENBERG
9330 59TH AVE SW
LAKEWOOD, WA 98499-2858
Phone number: 253-581-7020
Copy
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