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Individual

TAMALA GIPSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
508 PIERCE ST, LINDALE, TX 75771-3335
(903) 881-9373
Mailing address
120 MAPLE PL, VAN, TX 75790-3818
(903) 952-8447

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
213942
TX

Other

Enumeration date
08/20/2018
Last updated
08/20/2018
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