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Individual

DR. CORY JAMES GIBBENS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
AGPCNP-BC

Contact information

Practice address
380 9TH ST, FLORENCE, OR 97439-9470
(541) 997-8412
Mailing address
380 9TH ST, FLORENCE, OR 97439-9470
(541) 997-8412

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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