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1639820194
LAKISHA GIBSON
QUITMAN, MS
NPI
1639820194
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
291U00000X Clinical Medical Laboratory
(Licence: MS 25D2248675)
Enumeration Date
2022-01-15
Last Update Date
2022-01-15
Business Address
LAKISHA GIBSON RN
590 HIGHWAY 18 W
QUITMAN, MS 39355-8739
Phone number: 601-934-9629
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Mailing Address
LAKISHA GIBSON RN
590 HIGHWAY 18 W
QUITMAN, MS 39355-8739
Phone number: 601-934-9629
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