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1104563626
MALYNDA GIBSON
SEVIERVILLE, TN
NPI
1104563626
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TN 31631)
Enumeration Date
2022-05-16
Last Update Date
2022-12-09
Business Address
MALYNDA GIBSON FNP-C
740 MIDDLE CREEK RD STE 200
SEVIERVILLE, TN 37862-5056
Phone number: 865-453-0792
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Mailing Address
MALYNDA GIBSON FNP-C
2257 E UNION VALLEY RD
SEYMOUR, TN 37865-4423
Phone number: 865-201-3062
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