Individual
DEBORAH KAY GIBBONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
500 FOOTHILL DR, SALT LAKE CITY, UT 84148-0001
(801) 582-1565
Mailing address
500 FOOTHILL DR, SALT LAKE CITY, UT 84148-0001
(801) 582-1565
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
7653814-4405
UT
390200000X
Student in an Organized Health Care Education/Training Program
7653814-4405
UT
Other
Enumeration date
08/28/2019
Last updated
09/04/2019
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