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1205961067
DELORES DARLENE GIBSON
COLUMBUS, OH
NPI
1205961067
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
302F00000X Exclusive Provider Organization
(Licence: OH 2149320)
Enumeration Date
2007-02-22
Last Update Date
2007-07-08
Business Address
Ms. DELORES DARLENE GIBSON
810 BRADWELL DR
COLUMBUS, OH 43207-4160
Phone number: 614-491-4141
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Mailing Address
Ms. DELORES DARLENE GIBSON
3821 ARIES BROOK DR
COLUMBUS, OH 43207-4696
Phone number: 614-975-8623
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