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Individual

JESSICA GIBSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
1458 W CENTER RD, ESSEXVILLE, MI 48732-2151
(989) 895-4625
Mailing address
401 S BALLENGER HWY, FLINT, MI 48532-3638

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5101023339
MI

Other

Enumeration date
06/26/2017
Last updated
06/26/2017
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