TANYA MARIE GIBSON

ANTIOCH, TN
NPI1861796526
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy291U00000X Clinical Medical Laboratory
(Licence: TN  44D2016339)
Enumeration Date2011-01-10
Last Update Date2011-01-10
Business Address
-- TANYA MARIE GIBSON DDS
2440 EDENCREST DR
ANTIOCH, TN 37013-1919
Phone number: 615-480-6800
Mailing Address
-- TANYA MARIE GIBSON DDS
PO BOX 10076
VAN NUYS, CA 91410-0076
Phone number: 805-578-8300
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