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1871837898
KORTNIE BRYANNE GIBSON
CAMERON, MO
NPI
1871837898
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: MO 2008035475)
Enumeration Date
2012-11-15
Last Update Date
2012-11-15
Business Address
Mrs. KORTNIE BRYANNE GIBSON PTA
1111 EUCLID AVE
CAMERON, MO 64429-2005
Phone number: 660-632-6010
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Mailing Address
Mrs. KORTNIE BRYANNE GIBSON PTA
PO BOX 383
WARSAW, MO 65355-0383
Phone number: 660-438-6993
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