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1215777438
MAKENNA BRIANNE GIBSON
LOUISVILLE, KY
NPI
1215777438
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Former Name
MAKENNA BRIANNE THIBODEAUX
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1223P0300X Dentist Periodontics
(Licence: KY 11120)
Enumeration Date
2024-05-27
Last Update Date
2024-05-27
Business Address
MAKENNA BRIANNE GIBSON DMD
10914 NAGEL CT
LOUISVILLE, KY 40241-4855
Phone number: 606-215-9255
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Mailing Address
MAKENNA BRIANNE GIBSON DMD
10914 NAGEL CT
LOUISVILLE, KY 40241-4855
Phone number: 606-215-9255
Copy
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