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1831643691
TRAVIS LAWRENCE GIBSON
NEW YORK, NY
NPI
1831643691
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: NY 058591-1)
Enumeration Date
2016-08-10
Last Update Date
2016-08-10
Business Address
Dr. TRAVIS LAWRENCE GIBSON D.M.D
550 1ST AVE NYU LANGONE MEDICAL CENTER
NEW YORK, NY 10016-6402
Phone number: 212-263-5506
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Mailing Address
Dr. TRAVIS LAWRENCE GIBSON D.M.D
531 E 20TH ST UNIT 11A
NEW YORK, NY 10010-7602
Phone number: 917-519-3413
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