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1386020568
MICHAEL GIBBS
PHILADELPHIA, PA
NPI
1386020568
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Entity Type
Organization
Authorized Contact
MICHAEL GIBBS
Therapist
215-200-8298
Organization Subpart ?
No
Primary Taxonomy
251S00000X
(Licence: NJ 37PC00505300)
Enumeration Date
2015-08-10
Last Update Date
2015-08-10
Business Address
MICHAEL GIBBS
2443 GOLF RD
PHILADELPHIA, PA 19131-1416
Phone number: 215-200-8298
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Mailing Address
MICHAEL GIBBS
2443 GOLF RD
PHILADELPHIA, PA 19131-1416
Phone number: 215-200-8298
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