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1609321025
LILLIE GIBSON
GRENADA, MS
NPI
1609321025
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163WS0200X Registered Nurse, School
(Licence: AR R704695)
Enumeration Date
2016-08-16
Last Update Date
2016-08-16
Business Address
Mrs. LILLIE GIBSON RN
250 PENDER DR
GRENADA, MS 38901-9312
Phone number: 662-226-8900
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Mailing Address
Mrs. LILLIE GIBSON RN
250 PENDER DR
GRENADA, MS 38901-9312
Phone number: 662-226-8900
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