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1821048638
RUSSELL GIBSON
MARYVILLE, TN
NPI
1821048638
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Other Name
ERNEST RUSSELL GIBSON
Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: TN MD18195)
Enumeration Date
2006-05-11
Last Update Date
2007-07-08
Business Address
Dr. RUSSELL GIBSON MD
129 MONTGOMERY LN
MARYVILLE, TN 37803-5649
Phone number: 865-681-1224
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Mailing Address
Dr. RUSSELL GIBSON MD
129 MONTGOMERY LN
MARYVILLE, TN 37803-5649
Phone number: 865-681-1224
Copy
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