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1356819700
MATTHEW I GIBBS
ORANGEBURG, SC
NPI
1356819700
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: SC PT.9197)
Enumeration Date
2018-11-04
Last Update Date
2018-11-04
Business Address
MATTHEW I GIBBS
1704 VILLAGE PARK DR
ORANGEBURG, SC 29118-2401
Phone number: 803-534-2022
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Mailing Address
MATTHEW I GIBBS
2006 CHESTER AVE
WELLSVILLE, OH 43968-1031
Phone number: 330-383-6256
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