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1235738840
LAUREN M GIBBS
EDWARDSVILLE, IL
NPI
1235738840
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: IL 057004318)
Enumeration Date
2020-10-23
Last Update Date
2020-10-23
Business Address
LAUREN M GIBBS
1111 UNIVERSITY DR
EDWARDSVILLE, IL 62025-5589
Phone number: 618-692-2273
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Mailing Address
LAUREN M GIBBS
2803 CANTERBURY ST
GODFREY, IL 62035-2736
Phone number: 618-600-4995
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