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Individual

CRYSTAL LEANNA GIBSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
300 CEDAR RIDGE RD, OZARK, MO 65721-8969
(417) 559-5997
(417) 559-5997
Mailing address
300 CEDAR RIDGE RD, OZARK, MO 65721-8969
(417) 559-5997
(417) 559-5997

Taxonomy

Speciality
Code
Description
License number
State
163WG0600X
Gerontology Registered Nurse
Primary
2015028933
MO

Other

Enumeration date
06/11/2025
Last updated
06/11/2025
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