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1003389800
LEAH GIBSON
GRAND RAPIDS, MI
NPI
1003389800
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: MI 5201008330)
Enumeration Date
2019-01-04
Last Update Date
2020-11-09
Business Address
LEAH GIBSON MS, OTRL
3600 FULTON ST E
GRAND RAPIDS, MI 49546-1322
Phone number: 616-949-4971
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Mailing Address
LEAH GIBSON MS, OTRL
724 EVELYN ST NE
GRAND RAPIDS, MI 49505-4270
Phone number: 989-239-4934
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