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1144370834
KEITH EDWARD GIBSON
CORBIN, KY
NPI
1144370834
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: KY 6412)
Enumeration Date
2007-01-12
Last Update Date
2007-07-08
Business Address
-- KEITH EDWARD GIBSON D.M.D.
213 S MAIN ST
CORBIN, KY 40701-1455
Phone number: 606-523-1415
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Mailing Address
-- KEITH EDWARD GIBSON D.M.D.
213 S MAIN ST
CORBIN, KY 40701-1455
Phone number: 606-523-1415
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