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1811125057
JENNIFER DIANE GIBSON
JOHNSON CITY, TN
NPI
1811125057
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: TN MD48687)
Enumeration Date
2009-06-25
Last Update Date
2024-01-17
Business Address
Dr. JENNIFER DIANE GIBSON M.D.
325 N STATE OF FRANKLIN RD GROUND FL
JOHNSON CITY, TN 37604
Phone number: 423-439-7320
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Mailing Address
Dr. JENNIFER DIANE GIBSON M.D.
PO BOX 699
MOUNTAIN HOME, TN 37684-0699
Phone number: 423-439-7320
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