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1992149371
GAVIN GIGSTAD
BULLHEAD CITY, AZ
NPI
1992149371
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: AZ 5226)
Enumeration Date
2013-04-29
Last Update Date
2013-04-29
Business Address
-- GAVIN GIGSTAD
2150 SILVER CREEK RD
BULLHEAD CITY, AZ 86442-8472
Phone number: 928-763-8700
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Mailing Address
-- GAVIN GIGSTAD
547 E SAVANNAH ST
VAIL, AZ 85641-2342
Phone number:
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