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Individual
JERRY K GIDEON
Active
Individual
JERRY K GIDEON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207ZB0001X
Blood Banking & Transfusion Medicine Physician
Primary
H6236
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
118290905
—
TX
Enumeration date
12/14/2005
Last updated
08/15/2013
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