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1417911496
JAN MARIE GIBSON
FORT BLISS, TX
NPI
1417911496
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
124Q00000X Dental Hygienist
(Licence: WA 6445)
Enumeration Date
2006-04-14
Last Update Date
2016-06-16
Business Address
Ms. JAN MARIE GIBSON
BLDG 128 CHAFFEE RD, US ARMY DENTAL ACTIVITY ATTN: DENTAC HEADQUEARTERS
FORT BLISS, TX 79916
Phone number: 915-742-6001
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Mailing Address
Ms. JAN MARIE GIBSON
215 SHERIDAN RD
EL PASO, TX 79906-3803
Phone number: 253-283-9106
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