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Individual

TERRIE GIBSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2240 WINROW AVE, USA MEDDAC, RWBACH, FT. HUACHUCA, AZ 85613
(520) 533-5082
Mailing address
2240 WINROW AVE, USA MEDDAC, RWBACH, FT. HUACHUCA, AZ 85613
(520) 533-5082

Taxonomy

Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
RN085772
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
RN085772
RIGHT NOW LICENSE
AZ
Enumeration date
02/16/2016
Last updated
02/16/2016
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