Individual
MRS. BRENDA ANN GIBBONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
90 E 200 N, LOGAN, UT 84321-4034
(435) 752-0750
(435) 752-7433
Mailing address
90 E 200 N, LOGAN, UT 84321-4034
(435) 752-0750
(435) 752-7433
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
UT
Other
Enumeration date
12/08/2010
Last updated
12/08/2010
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