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1407283872
STACY Y GIBSON
SOUTHFIELD, MI
NPI
1407283872
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MI 5501015308)
Enumeration Date
2013-10-01
Last Update Date
2023-07-14
Business Address
STACY Y GIBSON DPT
29900 SOUTHFIELD RD
SOUTHFIELD, MI 48076-2090
Phone number: 248-663-0400
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Mailing Address
STACY Y GIBSON DPT
790 REMINGTON BLVD
BOLINGBROOK, IL 60440-4909
Phone number: 866-370-8206
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