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1700228236
SHALETA ELAINE GIBSON
ANN ARBOR, MI
NPI
1700228236
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Former Name
SHALETA ELAINE HAVARD
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
231H00000X Audiologist
(Licence: MI 1601000648)
Enumeration Date
2013-07-25
Last Update Date
2019-02-12
Business Address
SHALETA ELAINE GIBSON AuD
1500 EAST MEDICAL CENTER DR 1ST FLOOR MED INN RM C166A
ANN ARBOR, MI 48109-5816
Phone number: 734-936-9420
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Mailing Address
SHALETA ELAINE GIBSON AuD
3621 S STATE STREET
ANN ARBOR, MI 48108
Phone number: 734-647-5299
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