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1740703594
JOSHUA GIBSON
PORT ORANGE, FL
NPI
1740703594
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: NC A6240)
Enumeration Date
2017-07-24
Last Update Date
2017-07-24
Business Address
JOSHUA GIBSON
5535 S WILLIAMSON BLVD STE 774
PORT ORANGE, FL 32128-8321
Phone number: 888-265-2680
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Mailing Address
JOSHUA GIBSON
619A RIES AVE
NASHVILLE, TN 37209-1224
Phone number: 888-265-2680
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