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1184638116
PATRICE I GIBSON
JOHNSON CITY, TN
NPI
1184638116
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TN 5660)
Enumeration Date
2006-07-27
Last Update Date
2021-03-31
Business Address
Ms. PATRICE I GIBSON FNP
303 MED TECH PKWY STE 100
JOHNSON CITY, TN 37604
Phone number: 423-282-5611
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Mailing Address
Ms. PATRICE I GIBSON FNP
PO BOX 3889
JOHNSON CITY, TN 37602-3889
Phone number: 423-282-5611
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