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Individual

JEFFREY GIBBS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4438 PAMPLICO HWY, FLORENCE, SC 29505-8502
(843) 665-4955
Mailing address
3321 W DOGWOOD CHASE CT, FLORENCE, SC 29501-8040
(843) 661-6130

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1915
SC

Other

Enumeration date
03/13/2007
Last updated
07/08/2007
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