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1164483343
CARLA ANNETTE GIBSON-DETERING
SHELBY, NC
NPI
1164483343
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: NC 000201336)
Enumeration Date
2006-03-29
Last Update Date
2008-04-04
Business Address
-- CARLA ANNETTE GIBSON-DETERING FNP
201 E GROVER ST
SHELBY, NC 28150-3917
Phone number: 704-487-3798
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Mailing Address
-- CARLA ANNETTE GIBSON-DETERING FNP
PO BOX 601409
CHARLOTTE, NC 28260-1409
Phone number: 919-477-5152
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