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1932811387
GRETCHEN DIANE TIBBETTS
PUYALLUP, WA
NPI
1932811387
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: WA 61108477)
Enumeration Date
2022-12-16
Last Update Date
2022-12-16
Business Address
GRETCHEN DIANE TIBBETTS PTA
123 4TH AVE NW
PUYALLUP, WA 98371-8619
Phone number: 253-848-1234
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Mailing Address
GRETCHEN DIANE TIBBETTS PTA
123 4TH AVE NW
PUYALLUP, WA 98371-8619
Phone number: 253-848-1234
Copy
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