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1659545507
SUSAN H GIBSON
CHAMPAIGN, IL
NPI
1659545507
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2251P0200X Physical Therapist, Pediatrics
(Licence: IL 070003093)
Enumeration Date
2008-04-22
Last Update Date
2008-04-22
Business Address
Ms. SUSAN H GIBSON PT
1304 W BRADLEY AVE
CHAMPAIGN, IL 61821-2035
Phone number: 217-359-0287
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Mailing Address
Ms. SUSAN H GIBSON PT
123 W WILLIAM ST
MONTICELLO, IL 61856-1939
Phone number: 217-762-3914
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