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1174277073
ROBERT GIBSON
GRAND RAPIDS, MI
NPI
1174277073
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MI 5501301885)
Enumeration Date
2022-02-09
Last Update Date
2022-02-09
Business Address
ROBERT GIBSON DPT
4085 BURTON ST SE STE 100
GRAND RAPIDS, MI 49546-2444
Phone number: 616-233-3599
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Mailing Address
ROBERT GIBSON DPT
625 KENMOOR AVE SE STE 100
GRAND RAPIDS, MI 49546-2395
Phone number:
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