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1699384438
LACY GIBBON
SAPULPA, OK
NPI
1699384438
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: OK 117838)
Enumeration Date
2020-07-28
Last Update Date
2020-07-28
Business Address
LACY GIBBON DNP
949 E TAFT AVE
SAPULPA, OK 74066-5728
Phone number: 918-224-6079
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Mailing Address
LACY GIBBON DNP
701 CEDAR LAKE BLVD STE 120
OKLAHOMA CITY, OK 73114-7806
Phone number: 405-445-1210
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