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1295191864
JAMES GIBSON
WETHERSFIELD, CT
NPI
1295191864
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: NY 019387)
Enumeration Date
2016-01-12
Last Update Date
2023-07-12
Business Address
JAMES GIBSON PA-C
1290 SILAS DEANE HWY
WETHERSFIELD, CT 06109-4337
Phone number: 860-972-9033
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Mailing Address
JAMES GIBSON PA-C
36 WOODVALE AVE
KINGS PARK, NY 11754-1028
Phone number: 631-456-3835
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