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Individual

MRS. SHARON KAY GIBONEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
1000 E PRIMROSE ST, SUITE #270, SPRINGFIELD, MO 65807-5154
(417) 882-6900
(417) 882-8912
Mailing address
3159 S FRANKLIN AVE, SPRINGFIELD, MO 65807-4266
(417) 883-1862

Taxonomy

Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
049376
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
428081400
MO
Enumeration date
07/03/2005
Last updated
11/24/2008
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