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1205836384
ALLEN WAYNE GIBSON
ABERDEEN, SD
NPI
1205836384
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: SD 0350)
Enumeration Date
2005-07-29
Last Update Date
2007-07-08
Business Address
Mr. ALLEN WAYNE GIBSON PAC
701 8TH AVE NW SUITE A
ABERDEEN, SD 57401-1803
Phone number: 605-226-2663
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Mailing Address
Mr. ALLEN WAYNE GIBSON PAC
PO BOX 1474
ABERDEEN, SD 57402-1474
Phone number: 605-226-2663
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