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1467288662
NIA KATHERYN GIBSON
PROVO, UT
NPI
1467288662
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: UT 13972618-3503)
Enumeration Date
2024-09-12
Last Update Date
2024-09-12
Business Address
NIA KATHERYN GIBSON
750 N FREEDOM BLVD
PROVO, UT 84601-1677
Phone number: 801-373-4760
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Mailing Address
NIA KATHERYN GIBSON
750 N FREEDOM BLVD
PROVO, UT 84601-1677
Phone number: 801-373-4760
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