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1003186347
TANYA C GIBSON
MANSFIELD, OH
NPI
1003186347
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: OH PN097165-M-IV)
Enumeration Date
2012-01-04
Last Update Date
2012-01-04
Business Address
-- TANYA C GIBSON LPN
1695 FRONTIER TRL
MANSFIELD, OH 44905-2939
Phone number: 419-544-1564
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Mailing Address
-- TANYA C GIBSON LPN
1695 FRONTIER TRL
MANSFIELD, OH 44905-2939
Phone number: 419-544-1564
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