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1548803877
TERESA L GIBSON
HAZARD, KY
NPI
1548803877
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: KY 1082663)
Enumeration Date
2019-10-18
Last Update Date
2019-10-18
Business Address
Ms. TERESA L GIBSON APRN, PMHNP-C
102 MEDICAL CENTER DR
HAZARD, KY 41701-9421
Phone number: 606-439-6713
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Mailing Address
Ms. TERESA L GIBSON APRN, PMHNP-C
179 GRAYS BR
JENKINS, KY 41537-8701
Phone number: 606-634-4710
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