SHANNON DAWN GIBE

JAY, OK
NPI1306533617
Former NameSHANNON DAWN BENGE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: OK  L0066716)
Enumeration Date2023-04-18
Last Update Date2023-04-18
Business Address
SHANNON DAWN GIBE LPN
1015 W WASHBOURNE ST
JAY, OK 74346-4205
Phone number: 539-240-0171
Mailing Address
SHANNON DAWN GIBE LPN
1015 W WASHBOURNE ST
JAY, OK 74346-4205
Phone number: 539-240-0171