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1134217904
BRIAN ADAM GIBBY
SALT LAKE CITY, UT
NPI
1134217904
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: UT 59303064201)
Enumeration Date
2006-10-10
Last Update Date
2007-07-08
Business Address
Mr. BRIAN ADAM GIBBY OT
1952 EAST 7000 S #100
SALT LAKE CITY, UT 84121
Phone number: 801-942-3311
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Mailing Address
Mr. BRIAN ADAM GIBBY OT
PO BOX 711185
SALT LAKE CITY, UT 84171
Phone number: 801-942-3311
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