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Individual

ASHLEY GIBSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
700 US HIGHWAY 46 STE 420, FAIRFIELD, NJ 07004-1532
(727) 400-0272
Mailing address
700 US HIGHWAY 46 STE 420, FAIRFIELD, NJ 07004-1532

Taxonomy

Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary

Other

Enumeration date
07/25/2023
Last updated
07/25/2023
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