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Individual

ANGLESHIER GIBBS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
COTA/L

Contact information

Practice address
17365 WASHBURN ST, DETROIT, MI 48221-2440
(313) 854-8868
Mailing address
17365 WASHBURN ST, DETROIT, MI 48221-2440
(313) 854-8868

Taxonomy

Speciality
Code
Description
License number
State
174H00000X
Health Educator
4575
AZ
174H00000X
Health Educator
5202003307
MI
174H00000X
Health Educator
Primary
OTA 2338
CA

Other

Enumeration date
07/19/2012
Last updated
07/19/2012
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