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1306463930
MARK GIBBS
GAINESVILLE, VA
NPI
1306463930
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: VA 0024179511)
Enumeration Date
2020-06-30
Last Update Date
2020-06-30
Business Address
MARK GIBBS
7512 GARDNER PARK DR
GAINESVILLE, VA 20155-3414
Phone number: 703-753-9860
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Mailing Address
MARK GIBBS
7512 GARDNER PARK DR
GAINESVILLE, VA 20155-3414
Phone number:
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