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1609179969
BRENDA ANN GIBBONS
LOGAN, UT
NPI
1609179969
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2010-12-08
Last Update Date
2010-12-08
Business Address
Mrs. BRENDA ANN GIBBONS
90 E 200 N
LOGAN, UT 84321-4034
Phone number: 435-752-0750
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Mailing Address
Mrs. BRENDA ANN GIBBONS
90 E 200 N
LOGAN, UT 84321-4034
Phone number: 435-752-0750
Copy
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