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1861796526
TANYA MARIE GIBSON
ANTIOCH, TN
NPI
1861796526
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
291U00000X Clinical Medical Laboratory
(Licence: TN 44D2016339)
Enumeration Date
2011-01-10
Last Update Date
2011-01-10
Business Address
TANYA MARIE GIBSON DDS
2440 EDENCREST DR
ANTIOCH, TN 37013-1919
Phone number: 615-480-6800
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Mailing Address
TANYA MARIE GIBSON DDS
PO BOX 10076
VAN NUYS, CA 91410-0076
Phone number: 805-578-8300
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