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1144761941
LENITA GIBSON
GRAND RAPIDS, MI
NPI
1144761941
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2017-03-13
Last Update Date
2017-03-13
Business Address
-- LENITA GIBSON
891 MARYLAND AVE NE
GRAND RAPIDS, MI 49505-6005
Phone number: 616-608-7772
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Mailing Address
-- LENITA GIBSON
891 MARYLAND AVE NE
GRAND RAPIDS, MI 49505-6005
Phone number: 616-608-7772
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