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1013529957
SONJA RENEE GIBSON
FAYETTEVILLE, GA
NPI
1013529957
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225700000X Massage Therapist
(Licence: GA 00008687)
Enumeration Date
2020-08-21
Last Update Date
2020-08-21
Business Address
SONJA RENEE GIBSON MT
275 GLYNN ST S
FAYETTEVILLE, GA 30214-2015
Phone number: 470-278-5175
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Mailing Address
SONJA RENEE GIBSON MT
275 GLYNN ST S
FAYETTEVILLE, GA 30214-2015
Phone number: 470-278-5175
Copy
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