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1831870260
LANE GUSTAFSON
SEATTLE, WA
NPI
1831870260
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163WP0200X Registered Nurse, Pediatrics
(Licence: WA RN1355886)
Enumeration Date
2023-07-27
Last Update Date
2023-07-27
Business Address
LANE GUSTAFSON
4800 SAND POINT WAY NE
SEATTLE, WA 98105-3901
Phone number: 509-703-2183
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Mailing Address
LANE GUSTAFSON
643 W NICKERSON ST
SEATTLE, WA 98119-1574
Phone number:
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