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1952574048
GAVIN GILES GIST
OXFORD, MS
NPI
1952574048
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: MS R862250)
Enumeration Date
2008-04-09
Last Update Date
2021-01-14
Business Address
Mr. GAVIN GILES GIST APRN, ACNP-BC
100 BAPTIST MEMORIAL CIR STE 201
OXFORD, MS 38655-4476
Phone number: 901-271-1000
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Mailing Address
Mr. GAVIN GILES GIST APRN, ACNP-BC
8060 WOLF RIVER BLVD
GERMANTOWN, TN 38138-1727
Phone number: 901-271-1000
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