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Individual

AMANDA MEE GIBBS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS RD CDN

Contact information

Practice address
133 PARK ST, MALONE, NY 12953-1244
(315) 406-6217
Mailing address
PO BOX 175, RAY BROOK, NY 12977-0175
(315) 406-6217

Taxonomy

Speciality
Code
Description
License number
State
133N00000X
Nutritionist
008919
NY
133V00000X
Registered Dietitian
Primary
008919
NY

Other

Enumeration date
08/22/2025
Last updated
12/03/2025
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