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1598245185
GENOVIEVE GIBSON
SALT LAKE CITY, UT
NPI
1598245185
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: UT RBT-18-62592)
Enumeration Date
2018-08-14
Last Update Date
2018-08-14
Business Address
GENOVIEVE GIBSON
515 S 700 E STE 2A
SALT LAKE CITY, UT 84102-2855
Phone number: 406-212-8930
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Mailing Address
GENOVIEVE GIBSON
150 S 200 E APT 2314
SALT LAKE CITY, UT 84111-2197
Phone number: 406-212-8930
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