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1114343464
MARC EDWARD GIBBONS
ROUND ROCK, TX
NPI
1114343464
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: TX 2091496)
Enumeration Date
2014-03-11
Last Update Date
2014-03-11
Business Address
-- MARC EDWARD GIBBONS PTA
425 UNIVERSITY BLVD STE. 345
ROUND ROCK, TX 78665-1053
Phone number: 512-724-2111
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Mailing Address
-- MARC EDWARD GIBBONS PTA
PO BOX 844658
DALLAS, TX 75284-4658
Phone number: 512-724-2111
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