Individual
MS. JULIE MARIE GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
5150 JOURNAL CENTER BLVD NE, DAVITA MEDICAL GROUP COUMADIN CLINIC, ALBUQUERQUE, NM 87109-5900
(505) 262-3851
(505) 262-3851
Mailing address
9005 SUNNY BROOK ST NE, ALBUQUERQUE, NM 87113-2112
(505) 262-3851
(505) 262-7040
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R47027
NM
Other
Enumeration date
04/12/2017
Last updated
04/12/2017
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