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1245949791
MICHELLE RENE' GIBSON
ELIZABETHTOWN, KY
NPI
1245949791
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: IN 32003697A)
Enumeration Date
2022-11-22
Last Update Date
2022-11-22
Business Address
MICHELLE RENE' GIBSON COTA
225 SAINT JOHN RD
ELIZABETHTOWN, KY 42701-2918
Phone number: 270-769-3314
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Mailing Address
MICHELLE RENE' GIBSON COTA
116 CREEKVIEW LN
RINEYVILLE, KY 40162-9513
Phone number: 270-735-6839
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