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1083171524
KATHERINE M GIBSON
DALTON, GA
NPI
1083171524
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: GA OTA001944)
Enumeration Date
2019-02-20
Last Update Date
2019-02-20
Business Address
KATHERINE M GIBSON
1212 BROADRICK DR
DALTON, GA 30720-2503
Phone number: 706-270-8008
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Mailing Address
KATHERINE M GIBSON
388 MILAS WINKLER RD
CHATSWORTH, GA 30705-5241
Phone number: 706-618-6357
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