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1205177417
LARRY WAYNE GIBBONS
DALLAS, TX
NPI
1205177417
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207QA0505X Family Medicine, Adult Medicine
(Licence: TX E3283)
Enumeration Date
2013-03-13
Last Update Date
2013-03-13
Business Address
-- LARRY WAYNE GIBBONS M.D.
12330 PRESTON ROAD
DALLAS, TX 75230
Phone number: 972-341-3200
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Mailing Address
-- LARRY WAYNE GIBBONS M.D.
12330 PRESTON ROAD
DALLAS, TX 75230
Phone number: 972-341-3200
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