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1811029010
MARCUS A GIBSON
LOUISVILLE, KY
NPI
1811029010
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: KY 7305)
Enumeration Date
2007-03-12
Last Update Date
2021-04-14
Business Address
Dr. MARCUS A GIBSON DMD
2215 PORTLAND AVE
LOUISVILLE, KY 40212-1033
Phone number: 502-774-8631
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Mailing Address
Dr. MARCUS A GIBSON DMD
PO BOX 950244
LOUISVILLE, KY 40295-0244
Phone number: 502-953-4700
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