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1194930867
TRACY GIBSON
WEST PADUCAH, KY
NPI
1194930867
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
222Q00000X Developmental Therapist
Additional Taxonomies
174400000X Specialist
Enumeration Date
2007-05-14
Last Update Date
2016-06-20
Business Address
Mrs. TRACY GIBSON D.I.
3345 TORI TRAIL LN
WEST PADUCAH, KY 42086-9859
Phone number: 270-562-2065
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Mailing Address
Mrs. TRACY GIBSON D.I.
3345 TORI TRAIL LN
WEST PADUCAH, KY 42086-9859
Phone number: 270-562-2065
Copy