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1588014625
AMY GIBSON
GULFPORT, MS
NPI
1588014625
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225XP0200X Occupational Therapist Pediatrics
(Licence: MS OT2607)
Enumeration Date
2016-06-20
Last Update Date
2016-06-20
Business Address
AMY GIBSON MOT
12311 ASHLEY DR STE A
GULFPORT, MS 39503-2950
Phone number: 228-357-5253
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Mailing Address
AMY GIBSON MOT
83 AIRWAYS PL
SOUTHAVEN, MS 38671-5885
Phone number: 662-349-8787
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