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1821166679
PENELOPE M GIBSON
BURLINGTON, VT
NPI
1821166679
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: VT 0550030790)
Enumeration Date
2006-12-01
Last Update Date
2007-07-08
Business Address
-- PENELOPE M GIBSON PA
111 COLCHESTER AVE FAHC HEMATOLOGY ONCOLOGY, EAST PAVILION LEVEL 2
BURLINGTON, VT 05401-1473
Phone number: 802-847-8400
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Mailing Address
-- PENELOPE M GIBSON PA
2 HIDEAWAY LN
WILLISTON, VT 05495-9426
Phone number: 802-879-3163
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