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1902958887
SUSAN BALLOU GIBSON
SOMERSET, KY
NPI
1902958887
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1223P0300X Dentist Periodontics
(Licence: KY 6224)
Enumeration Date
2007-01-18
Last Update Date
2007-07-08
Business Address
DR. SUSAN BALLOU GIBSON DMD, MSD
110 HARDIN LN SUITE 2
SOMERSET, KY 42503-3818
Phone number: 606-678-9664
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Mailing Address
DR. SUSAN BALLOU GIBSON DMD, MSD
110 HARDIN LN SUITE 2
SOMERSET, KY 42503-3818
Phone number: 606-678-9664
Copy
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