Individual
MRS. DEBRA GIBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, BSN, CDE
Contact information
Practice address
1923 S UTICA AVE, TULSA, OK 74104-6520
(918) 744-3623
(918) 744-2483
Mailing address
1717B S UTICA AVE STE 205, TULSA, OK 74104-5332
(918) 744-3623
(918) 744-2483
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
0045042
OK
Other
Enumeration date
04/24/2017
Last updated
04/24/2017
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