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1164971131
JANINE GIBBS LARRY
VICKSBURG, MS
NPI
1164971131
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MS 901736)
Enumeration Date
2016-09-30
Last Update Date
2016-09-30
Business Address
-- JANINE GIBBS LARRY F.N.P.
139 WATKINS RD
VICKSBURG, MS 39180-7291
Phone number: 601-738-5308
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Mailing Address
-- JANINE GIBBS LARRY F.N.P.
139 WATKINS RD
VICKSBURG, MS 39180-7291
Phone number: 601-738-5308
Copy
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