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Individual
MRS. JULIE IANNAZZONE GIBBONS
Active
Individual
MRS. JULIE IANNAZZONE GIBBONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
F.N.P.
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
21281
SC
363LF0000X
Family Nurse Practitioner
21281
SC
363LF0000X
Family Nurse Practitioner
RN1007952
DC
Other
Enumeration date
04/19/2011
Last updated
08/15/2025
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