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1558784975
SHANNON GIBBS
MERIDIAN, MS
NPI
1558784975
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MS R874657)
Enumeration Date
2014-01-22
Last Update Date
2015-03-19
Business Address
-- SHANNON GIBBS NP
1102 CONSTITUTION AVE
MERIDIAN, MS 39301-4001
Phone number: 601-703-5600
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Mailing Address
-- SHANNON GIBBS NP
PO BOX 228
WEARE, NH 03281-0228
Phone number: 601-681-4985
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