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1912264045
GEORGE W GIBSON DO PC
DETROIT, MI
NPI
1912264045
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Entity Type
Organization
Authorized Contact
GEORGE W GIBSON
Owner
313-930-0242
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: MI 5101006424)
Enumeration Date
2012-04-13
Last Update Date
2012-04-13
Business Address
GEORGE W GIBSON DO PC
15201 W MCNICHOLS RD
DETROIT, MI 48235-3717
Phone number: 313-930-0242
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Mailing Address
GEORGE W GIBSON DO PC
15201 W MCNICHOLS RD
DETROIT, MI 48235-3717
Phone number: 313-930-0242
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