Individual
MICHELE GIBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1011 N SAUNDERS AVE, SUTTON, NE 68979-2515
(402) 762-5174
Mailing address
PO BOX 681, SUTTON, NE 68979-0681
(402) 762-5174
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
CCC9924
NE
Other
Enumeration date
01/28/2025
Last updated
01/28/2025
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