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Individual

MR. AMOUS LEON GIBSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
4420 NW 13TH CT, LAUDERHILL, FL 33313-5613
(954) 733-6895
Mailing address
4420 NW 13TH CT, LAUDERHILL, FL 33313-5613

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12421
FL

Other

Enumeration date
07/12/2013
Last updated
03/14/2014
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