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1972947943
RENAH T GIBSON
ENID, OK
NPI
1972947943
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: OK 5563)
Enumeration Date
2013-04-22
Last Update Date
2020-02-13
Business Address
RENAH T GIBSON DO
3517 W OWEN K GARRIOTT RD STE 4
ENID, OK 73703-4953
Phone number: 580-233-5553
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Mailing Address
RENAH T GIBSON DO
PO BOX 3046
MALVERN, PA 19355-0746
Phone number: 580-233-5553
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