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1477868651
LISA ANN GIBSON
FORT WAYNE, IN
NPI
1477868651
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225XP0200X Occupational Therapist, Pediatrics
(Licence: IN 31004899A)
Enumeration Date
2010-08-12
Last Update Date
2010-08-12
Business Address
Mrs. LISA ANN GIBSON MOTR
1200 BARR ST
FORT WAYNE, IN 46802-3502
Phone number: 260-467-1110
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Mailing Address
Mrs. LISA ANN GIBSON MOTR
725 N EASTON DR
ANGOLA, IN 46703-7566
Phone number: 260-665-8415
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