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1134785249
MARQUEZ WILLIS GIBSON
UKIAH, CA
NPI
1134785249
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2019-05-14
Last Update Date
2023-12-05
Business Address
MARQUEZ WILLIS GIBSON
776 S STATE ST STE 103
UKIAH, CA 95482-5833
Phone number: 707-463-4915
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Mailing Address
MARQUEZ WILLIS GIBSON
776 S STATE ST STE 103
UKIAH, CA 95482-5833
Phone number: 707-463-4915
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