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Individual
SUSAN KRISTY GIBBONS
Active
Individual
SUSAN KRISTY GIBBONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 00008044
WA
Other
Enumeration date
01/21/2010
Last updated
01/21/2010
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