Individual
MS. DEBRA JEAN GIBESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6100 NW CHERRY ST, VANCOUVER, WA 98663-1034
(360) 936-7407
Mailing address
6100 NW CHERRY ST, VANCOUVER, WA 98663-1034
(360) 936-7407
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
126800000X
WA
Other
Enumeration date
02/03/2015
Last updated
02/03/2015
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