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1215192513
MARQUES ALAN GIBSON
DOTHAN, AL
NPI
1215192513
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: AL 2367)
Enumeration Date
2008-07-25
Last Update Date
2008-07-25
Business Address
-- MARQUES ALAN GIBSON OT
3160 W MAIN ST
DOTHAN, AL 36305-1185
Phone number: 334-699-2348
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Mailing Address
-- MARQUES ALAN GIBSON OT
3160 W MAIN ST
DOTHAN, AL 36305-1185
Phone number: 334-699-2348
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