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1215452438
MICHAEL GIBSON
PLYMOUTH MEETING, PA
NPI
1215452438
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: PA PN272110)
Enumeration Date
2017-08-09
Last Update Date
2017-08-09
Business Address
MICHAEL GIBSON
2250 HICKORY RD STE 240
PLYMOUTH MEETING, PA 19462-2225
Phone number: 610-834-1122
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Mailing Address
MICHAEL GIBSON
108 FAIRVIEW AVE
BALA CYNWYD, PA 19004-1809
Phone number:
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