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Individual

MRS. CARLA DIANE GIBSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN,BSN

Contact information

Practice address
1353 E MARKET ST, SUITE 301, WARREN, OH 44483-6626
(330) 841-9020
(330) 841-9970
Mailing address
1353 E MARKET ST, SUITE 301, WARREN, OH 44483-6626
(330) 841-9020
(330) 841-9970

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN296582
OH

Other

Enumeration date
03/18/2010
Last updated
03/18/2010
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