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Individual

HALEY GIBSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
4111 PARK AVE, FORT SMITH, AR 72903-1829
(479) 783-4506
Mailing address
472431 E 1125 RD, MULDROW, OK 74948-5599

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R0131306
OK

Other

Enumeration date
08/07/2026
Last updated
08/07/2026
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