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1932876653
JESSICA DANIELLE GIBSON
POWELL, TN
NPI
1932876653
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: TN 4714)
Enumeration Date
2021-08-30
Last Update Date
2021-08-30
Business Address
JESSICA DANIELLE GIBSON PA-C
7565 DANNAHER DR
POWELL, TN 37849-4029
Phone number: 865-859-8000
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Mailing Address
JESSICA DANIELLE GIBSON PA-C
428 AARON DAVIS RD
SPEEDWELL, TN 37870-7405
Phone number:
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