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1053926659
PENNY ANN GIBSON
JACKSON, TN
NPI
1053926659
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225XP0200X Occupational Therapist, Pediatrics
(Licence: TN 42138)
Enumeration Date
2020-09-10
Last Update Date
2020-09-10
Business Address
PENNY ANN GIBSON
34 GARLAND DR
JACKSON, TN 38305-3654
Phone number: 731-668-9070
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Mailing Address
PENNY ANN GIBSON
1804 HIGHWAY 45 BYP STE 604
JACKSON, TN 38305-4403
Phone number: 731-660-8781
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