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Individual
DR. CORY JAMES GIBBENS
Active
Individual
DR. CORY JAMES GIBBENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AGPCNP-BC
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
202005263NP-PP
OR
Other
Enumeration date
06/08/2020
Last updated
06/06/2023
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