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1356968820
ELIZABETH LAURA GIBBEMEYER
FAIRFAX, VA
NPI
1356968820
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: VA 0024179602)
Enumeration Date
2020-07-01
Last Update Date
2024-03-28
Business Address
ELIZABETH LAURA GIBBEMEYER NP
3700 JOSEPH SIEWICK DR STE 100
FAIRFAX, VA 22033-1737
Phone number: 571-665-6467
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Mailing Address
ELIZABETH LAURA GIBBEMEYER NP
4209 RIDGE TOP RD APT 410
FAIRFAX, VA 22030-1120
Phone number: 513-702-9430
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