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Individual

DR. JULIETTE A. GIBBONS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1965 S FREMONT AVE, SUITE 270, SPRINGFIELD, MO 65804-2201
(417) 820-3890
(417) 820-3567
Mailing address
PO BOX 2580, SPRINGFIELD, MO 65801-2580
(417) 820-3890
(417) 820-3567

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
R8P50
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
203460217
MO
Enumeration date
11/16/2006
Last updated
07/17/2008
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