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1619476082
DIANA S GIBSON
NEW CITY, NY
NPI
1619476082
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Former Name
DIANA S LORENTZ
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 318869-1)
Enumeration Date
2018-02-12
Last Update Date
2018-02-12
Business Address
DIANA S GIBSON
295 PHILLIPS HILL RD
NEW CITY, NY 10956-2018
Phone number: 845-598-1633
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Mailing Address
DIANA S GIBSON
14 KENSINGTON CIR APT B
GARNERVILLE, NY 10923-1629
Phone number: 845-598-1633
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