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1265176697
FLORA GIBSON
MENTOR, OH
NPI
1265176697
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH 183119)
Enumeration Date
2022-04-22
Last Update Date
2023-02-08
Business Address
FLORA GIBSON CDCA
9083 MENTOR AVE
MENTOR, OH 44060-6462
Phone number: 440-255-0678
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Mailing Address
FLORA GIBSON CDCA
9083 MENTOR AVE
MENTOR, OH 44060-6462
Phone number: 440-255-0678
Copy
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