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1922324276
MARK DUANE GIBSON
FPO, AP
NPI
1922324276
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1710I1002X Military Health Care Provider Independent Duty Corpsman
Enumeration Date
2010-04-12
Last Update Date
2010-04-12
Business Address
MR. MARK DUANE GIBSON
USS LOUISVILLE
FPO, AP 96671-2404
Phone number: 808-471-1200
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Mailing Address
MR. MARK DUANE GIBSON
908 MURRAY DR
HONOLULU, HI 96818-3807
Phone number: 423-331-4436
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