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1720600703
KIERRA GIBBONS
LOGAN, UT
NPI
1720600703
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: UT 11285625-3501)
Enumeration Date
2020-05-12
Last Update Date
2023-02-20
Business Address
KIERRA GIBBONS
115 GOLF COURSE RD STE E
LOGAN, UT 84321-5934
Phone number: 435-799-5035
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Mailing Address
KIERRA GIBBONS
1140 W 500 S STE 9
VERNAL, UT 84078-2912
Phone number: 435-789-6300
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