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Individual

YAMILY GIBSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
19 ACACIA DR, MAHOPAC, NY 10541-5320
(845) 597-4620
Mailing address
19 ACACIA DR, MAHOPAC, NY 10541-5320
(845) 597-4620

Taxonomy

Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
285038
NY

Other

Enumeration date
03/24/2015
Last updated
03/24/2015
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