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1881005593
LAMONT GIBSON
BUCKEYE, AZ
NPI
1881005593
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
(Licence: AZ 10198)
Enumeration Date
2014-05-15
Last Update Date
2014-05-15
Business Address
-- LAMONT GIBSON
22178 W MOONLIGHT PATH
BUCKEYE, AZ 85326-8590
Phone number: 602-770-6273
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Mailing Address
-- LAMONT GIBSON
22178 W MOONLIGHT PATH
BUCKEYE, AZ 85326-8590
Phone number: 602-770-6273
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