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1780844613
DEBOORAH A GIBSON
LINDSTROM, MN
NPI
1780844613
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
311ZA0620X Custodial Care Facility Adult Care Home
(Licence: MN 1020292-1-AFC)
Enumeration Date
2008-06-13
Last Update Date
2008-06-13
Business Address
DEBOORAH A GIBSON
28131 NEWBERRY TRAIL
LINDSTROM, MN 55045
Phone number: 651-657-3684
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Mailing Address
DEBOORAH A GIBSON
28131 NEWBERRY TRAIL
LINDSTROM, MN 55045
Phone number: 651-657-3684
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