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1952697781
MICHAEL RYAN GIBSON
BECKLEY, WV
NPI
1952697781
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: WV 001632)
Enumeration Date
2011-06-20
Last Update Date
2011-06-20
Business Address
Mr. MICHAEL RYAN GIBSON PTA
122 SANDSTONE DR APT 12
BECKLEY, WV 25801-2843
Phone number: 304-923-2427
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Mailing Address
Mr. MICHAEL RYAN GIBSON PTA
122 SANDSTONE DR APT 12
BECKLEY, WV 25801-2843
Phone number: 304-923-2427
Copy
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