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1205047578
WILLIAM LEE GIBSON
SHREVEPORT, LA
NPI
1205047578
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: LA md.203335)
Enumeration Date
2007-05-25
Last Update Date
2018-12-16
Business Address
WILLIAM LEE GIBSON MD
1560 IRVING PL
SHREVEPORT, LA 71101-4604
Phone number: 318-212-1194
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Mailing Address
WILLIAM LEE GIBSON MD
1560 IRVING PL
SHREVEPORT, LA 71101-4604
Phone number: 318-212-1194
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