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1912297722
LEE LOWELL GIBSON
SEATTLE, WA
NPI
1912297722
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: WA ocooooo764)
Enumeration Date
2011-04-13
Last Update Date
2011-04-13
Business Address
Mr. LEE LOWELL GIBSON COTA/L
12550 AURORA AVE N
SEATTLE, WA 98133-8036
Phone number: 206-363-7303
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Mailing Address
Mr. LEE LOWELL GIBSON COTA/L
12550 AURORA AVE N
SEATTLE, WA 98133-8036
Phone number: 206-363-7303
Copy
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