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Individual
MRS. SUE LEEUWENBURG GIBSON
Active
Individual
MRS. SUE LEEUWENBURG GIBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
8122
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0105296
—
NC
01
—
3434139
NABP
NC
Enumeration date
01/05/2012
Last updated
01/05/2012
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