Individual
HARRIET J GIBBONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
621 DEMERS AVE, EAST GRAND FORKS, MN 56721-1833
(218) 773-5800
(218) 773-5888
Mailing address
621 DEMERS AVE, EAST GRAND FORKS, MN 56721-1833
(218) 773-5800
(218) 773-5888
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PAC0199
ND
Other
Enumeration date
07/18/2006
Last updated
07/08/2007
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