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1033507348
MYRA C GIBSON
LUTZ, FL
NPI
1033507348
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: FL 0060279)
Enumeration Date
2015-01-08
Last Update Date
2015-01-08
Business Address
Dr. MYRA C GIBSON md
4123 HIGHLAND PARK CIR
LUTZ, FL 33558-5314
Phone number: 813-482-5291
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Mailing Address
Dr. MYRA C GIBSON md
3959 VAN DYKE RD # 193
LUTZ, FL 33558-8025
Phone number: 813-482-5291
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