Individual
BRIDGET GIBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
100 GENESEE ST, AUBURN, NY 13021-3642
(315) 252-3441
Mailing address
100 GENESEE ST, AUBURN, NY 13021-3642
(315) 252-3441
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
301763-1
NY
Other
Enumeration date
02/22/2011
Last updated
02/22/2011
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