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1740648062
REBEKAH GIBNEY
DRAPER, UT
NPI
1740648062
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Entity Type
Organization
Authorized Contact
REBEKAH GIBNEY
Owner
801-938-5362
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: UT 9416815-4405)
Enumeration Date
2016-02-01
Last Update Date
2016-02-11
Business Address
REBEKAH GIBNEY
11576 S STATE ST SUITE 102B
DRAPER, UT 84020-6431
Phone number: 801-938-5362
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Mailing Address
REBEKAH GIBNEY
11576 S STATE ST SUITE 102B
DRAPER, UT 84020-6431
Phone number: 801-938-5362
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