Individual
SARAH ELAINE GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1255 66TH AVE NE, FRIDLEY, MN 55432-4656
(763) 572-0930
Mailing address
1255 66TH AVE NE, FRIDLEY, MN 55432-4656
(763) 572-0930
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
10/15/2007
Last updated
10/15/2007
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