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Individual

MR. FAE GIBSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
L.AC., LMT

Contact information

Practice address
318 E JEFFERSON ST, BUTLER, PA 16001-6009
(724) 498-6141
Mailing address
264 GIBSON RD, PARKER, PA 16049-2018
(724) 498-6141

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AK001255
PA
225700000X
Massage Therapist
MSG003056
PA

Other

Enumeration date
05/01/2019
Last updated
05/01/2019
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