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Individual

DIANNA R GIBSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
C.R.N.A

Contact information

Practice address
400 9TH ST, FLORENCE, OR 97439-7398
(555) 555-5555
Mailing address
400 9TH ST, FLORENCE, OR 97439-7398
(555) 555-5555

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
16886
TN
367500000X
Certified Registered Nurse Anesthetist
2012007166
MO
367500000X
Certified Registered Nurse Anesthetist
Primary
202010013CRNA
OR
367500000X
Certified Registered Nurse Anesthetist
APRN99562
WV
367500000X
Certified Registered Nurse Anesthetist
R229632
MD

Other

Enumeration date
03/07/2012
Last updated
07/27/2022
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