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1700400587
LISA M GIBSON
FORT COLLINS, CO
NPI
1700400587
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Former Name
LISA M GOSSERT
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: WY 405)
Enumeration Date
2020-06-08
Last Update Date
2020-06-08
Business Address
Mrs. LISA M GIBSON
2509 RESEARCH BLVD
FORT COLLINS, CO 80526-8108
Phone number: 307-214-7655
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Mailing Address
Mrs. LISA M GIBSON
2360 E PERSHING BLVD
CHEYENNE, WY 82001-5356
Phone number: 307-778-7349
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