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Individual

ALLISON L GIBSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
1280 MAIN ST 1ST FLOOR, BUFFALO, NY 14209-1966
(716) 884-8797
(716) 882-0293
Mailing address
5070 BROADWAY, DEPEW, NY 14043
(716) 495-7341
(716) 662-0019

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
333324-1
NY

Other

Enumeration date
06/11/2019
Last updated
04/15/2022
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