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1104011121
GIBSON JOHNSON
NASHVILLE, TN
NPI
1104011121
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: TN DS2784)
Enumeration Date
2007-09-12
Last Update Date
2007-09-12
Business Address
Dr. GIBSON JOHNSON DDS
1005 D B TODD BLVD
NASHVILLE, TN 37208
Phone number: 615-256-7543
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Mailing Address
Dr. GIBSON JOHNSON DDS
PO BOX 331004
NASHVILLE, TN 37203
Phone number: 615-256-7543
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