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Individual

LAUREN M GIBBS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1111 UNIVERSITY DR, EDWARDSVILLE, IL 62025-5589
(618) 692-2273
Mailing address
2803 CANTERBURY ST, GODFREY, IL 62035-2736
(618) 600-4995

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057004318
IL

Other

Enumeration date
10/23/2020
Last updated
10/23/2020
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