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1699748772
DANIEL L GIBSON
JEFFERSON CITY, MO
NPI
1699748772
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: MO 2000169649)
Enumeration Date
2006-02-09
Last Update Date
2012-06-28
Business Address
-- DANIEL L GIBSON DO
3308 W EDGEWOOD DR SUITE B
JEFFERSON CITY, MO 65109-6891
Phone number: 573-893-7848
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Mailing Address
-- DANIEL L GIBSON DO
PO BOX 1107 HEALTH BRANCH WEST
JEFFERSON CITY, MO 65102-1107
Phone number: 573-893-7848
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