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Individual
KENTRON MARKESE GIBSON
Active
Individual
KENTRON MARKESE GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
12002R
LA
225100000X
Physical Therapist
Primary
8067
MS
Other
Enumeration date
04/09/2025
Last updated
08/11/2025
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