Individual
MS. KAREN FAY GIBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MLS (MT,CLS)
Contact information
Practice address
29 BLACKCOAL DR., LABORATORY, FORT WASHAKIE, WY 82514
(307) 332-7672
Mailing address
11574 HIGHWAY 26, RIVERTON, WY 82501-9249
(307) 857-6157
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
183543
—
Other
Enumeration date
01/21/2010
Last updated
01/21/2010
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