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1083371538
SCOTT ALEXANDER GIBSON
RIVERDALE, GA
NPI
1083371538
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: GA LPN076640)
Enumeration Date
2021-11-19
Last Update Date
2021-11-19
Business Address
SCOTT ALEXANDER GIBSON LPN
277 MEDICAL WAY
RIVERDALE, GA 30274-2522
Phone number: 470-298-7236
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Mailing Address
SCOTT ALEXANDER GIBSON LPN
10019 REISTERSTOWN RD FL 3
OWINGS MILLS, MD 21117-3902
Phone number:
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