SHAVONDA GIBSON

MADISON, TN
NPI1154627305
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: TN  75076)
Enumeration Date2011-02-07
Last Update Date2011-02-07
Business Address
-- SHAVONDA GIBSON
620 GALLATIN PIKE S
MADISON, TN 37115-4013
Phone number: 615-460-4300
Mailing Address
-- SHAVONDA GIBSON
620 GALLATIN PIKE S
MADISON, TN 37115-4013
Phone number:
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