Individual
MRS. BRANDI MARIE GIBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
31 MEADOWBROOK DR, ALBION, NY 14411-1652
(585) 880-4642
Mailing address
31 MEADOWBROOK DR, ALBION, NY 14411-1652
(585) 880-4642
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
828097
NY
Other
Enumeration date
11/15/2012
Last updated
11/15/2012
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