Individual
ANGELA GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
395 HARDING ST, DEFIANCE, OH 43512-1315
(419) 455-0063
Mailing address
395 HARDING ST, DEFIANCE, OH 43512-1315
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN.171373.MEDS-IV
OH
Other
Enumeration date
03/31/2025
Last updated
03/31/2025
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