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1861760167
SHAWN GIBBS
OREM, UT
NPI
1861760167
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: UT 8154463-1206)
Enumeration Date
2011-12-01
Last Update Date
2011-12-01
Business Address
-- SHAWN GIBBS PA
155 N 400 W B6
OREM, UT 84057-1909
Phone number: 801-224-1300
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Mailing Address
-- SHAWN GIBBS PA
162 N 400 W
LINDON, UT 84042-1818
Phone number: 801-836-7650
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