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1245565670
LISA MICHELLE GIBSON
SANTA CRUZ, CA
NPI
1245565670
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA 35980)
Enumeration Date
2009-10-02
Last Update Date
2009-10-02
Business Address
LISA MICHELLE GIBSON
1510 SEABRIGHT AVE
SANTA CRUZ, CA 95062-2529
Phone number: 831-425-3588
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Mailing Address
LISA MICHELLE GIBSON
521 OLIVE ST
SANTA CRUZ, CA 95060-2424
Phone number: 510-301-6106
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