Individual
ABY R GIBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1482 E 250TH ST, EUCLID, OH 44117-1205
(216) 402-3486
Mailing address
1482 E 250TH ST, EUCLID, OH 44117-1205
(216) 402-3486
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
177268
OH
Other
Enumeration date
02/13/2025
Last updated
02/18/2025
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