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Individual

MISS DANA GIBBON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
8030 SW 20TH CT, DAVIE, FL 33324-5411
(305) 725-2738
Mailing address
8030 SW 20TH CT, DAVIE, FL 33324-5411
(305) 725-2738

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN1275401
FL

Other

Enumeration date
04/06/2022
Last updated
11/06/2025
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