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1770824237
JODIE MARIE GIPSON
CHICAGO, IL
NPI
1770824237
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: IL 056.009860)
Enumeration Date
2013-03-08
Last Update Date
2013-03-08
Business Address
Miss JODIE MARIE GIPSON OTR/L
1346 N BOSWORTH AVE UNIT 3
CHICAGO, IL 60642-2393
Phone number: 573-837-2289
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Mailing Address
Miss JODIE MARIE GIPSON OTR/L
1346 N BOSWORTH AVE UNIT 3
CHICAGO, IL 60642-2393
Phone number: 573-837-2289
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