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1992382543
ELLA GERVAIS GIBSON
SACRAMENTO, CA
NPI
1992382543
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2021-03-28
Last Update Date
2021-04-03
Business Address
ELLA GERVAIS GIBSON MD
2315 STOCKTON BLVD
SACRAMENTO, CA 95817-2201
Phone number: 916-734-2724
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Mailing Address
ELLA GERVAIS GIBSON MD
2315 STOCKTON BLVD
SACRAMENTO, CA 95817-2201
Phone number: 916-734-2724
Copy
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