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1003126905
COLEEN RENEE GIBSON
ELIZABETHTOWN, KY
NPI
1003126905
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: KY KY-0992)
Enumeration Date
2010-10-14
Last Update Date
2010-10-14
Business Address
-- COLEEN RENEE GIBSON LMT
1606 KNOB HILL RD
ELIZABETHTOWN, KY 42701-9175
Phone number: 270-307-9325
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Mailing Address
-- COLEEN RENEE GIBSON LMT
1606 KNOB HILL RD
ELIZABETHTOWN, KY 42701-9175
Phone number: 270-307-9325
Copy
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