Individual
DEBORAH D GIBBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1403 S BROADWAY, SHELBY, MS 38774
(662) 775-5070
(662) 775-5070
Mailing address
1806 S CHRISMAN AVE, CLEVELAND, MS 38732-4504
(662) 775-5070
(662) 775-5070
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
01/28/2019
Last updated
01/28/2019
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