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1225279227
KELLI GIBBS
MISSOULA, MT
NPI
1225279227
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Additional Taxonomies
363AM0700X Physician Assistant, Medical
Enumeration Date
2009-03-20
Last Update Date
2018-04-11
Business Address
KELLI GIBBS
3075 N RESERVE ST STE Q
MISSOULA, MT 59808-1390
Phone number: 406-327-1750
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Mailing Address
KELLI GIBBS
PO BOX 12
LIBERTY LAKE, WA 99019-0012
Phone number: 406-327-1918
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