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1932257391
ANGIE GIBBENS
MILWAUKIE, OR
NPI
1932257391
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Former Name
ANGIE HART
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: ID OTA107)
Enumeration Date
2007-01-08
Last Update Date
2007-07-08
Business Address
Mrs. ANGIE GIBBENS COJAIL
4560 SE INTERNATIONAL WAY #100
MILWAUKIE, OR 97222
Phone number: 970-206-5129
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Mailing Address
Mrs. ANGIE GIBBENS COJAIL
10950 ONEIDA
BOISE, ID 83709
Phone number: 208-362-2490
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