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Individual

LEONORA GIBSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
2726 RENWICK DR, CARROLLTON, TX 75007-5928
(214) 228-9134
(214) 483-6240
Mailing address
2810 E TRINITY MILLS RD, #121, CARROLLTON, TX 75006-2545
(214) 228-9134
(214) 483-6240

Taxonomy

Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
740217
TX
163WH0200X
Home Health Registered Nurse
740217
TX

Other

Enumeration date
01/26/2009
Last updated
01/26/2009
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