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1053733394
MYKENZI GIBBS
COLUMBIA, SC
NPI
1053733394
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: SC 2021)
Enumeration Date
2014-01-06
Last Update Date
2021-12-07
Business Address
MYKENZI GIBBS PA-C
8 RICHLAND MEDICAL PARK DR STE 100
COLUMBIA, SC 29203-8006
Phone number: 803-434-3800
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Mailing Address
MYKENZI GIBBS PA-C
220 SAILING CLUB DR
COLUMBIA, SC 29229-7359
Phone number: 803-546-5768
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