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1063014413
BRYAN R GIBB
ITHACA, NY
NPI
1063014413
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2020-11-11
Last Update Date
2020-12-03
Business Address
Mr. BRYAN R GIBB PA-C
16 BRENTWOOD DR STE A
ITHACA, NY 14850-1863
Phone number: 607-272-7000
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Mailing Address
Mr. BRYAN R GIBB PA-C
690 RIDGE RD APT 201
LANSING, NY 14882-8980
Phone number: 850-368-1074
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