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1003581760
TRACEY LEE GIBBS
MENA, AR
NPI
1003581760
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: AR OT2021-017)
Enumeration Date
2021-08-13
Last Update Date
2021-08-13
Business Address
TRACEY LEE GIBBS MOT
605 MENA ST
MENA, AR 71953-3339
Phone number: 479-385-1236
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Mailing Address
TRACEY LEE GIBBS MOT
2356 N 9TH ST
DE QUEEN, AR 71832-9262
Phone number: 870-784-3285
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