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1205560133
TABATHA GIBSON
FAIRMONT, WV
NPI
1205560133
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2022-07-15
Last Update Date
2022-07-15
Business Address
TABATHA GIBSON
16 MOUNTAIN PARK DR
FAIRMONT, WV 26554-8992
Phone number: 304-816-3687
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Mailing Address
TABATHA GIBSON
16 MOUNTAIN PARK DR
FAIRMONT, WV 26554-8992
Phone number: 304-816-3687
Copy
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