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Individual
DR. JUSTIN BRUCE GIBSON
Active
Individual
DR. JUSTIN BRUCE GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR010435
GA
111N00000X
Chiropractor
CHIRO10435
GA
Other
Enumeration date
10/15/2020
Last updated
10/16/2020
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