TRACY GIBSON

POCATELLO, ID
NPI1700896685
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367A00000X Advanced Practice Midwife
(Licence: ID  CNM33)
Enumeration Date2006-08-09
Last Update Date2011-03-03
Business Address
-- TRACY GIBSON CNM
500 S 11TH AVE SUITE 402
POCATELLO, ID 83201-4835
Phone number: 208-239-3412
Mailing Address
-- TRACY GIBSON CNM
500 S 11TH AVE SUITE 402
POCATELLO, ID 83201-4835
Phone number: 208-239-3412
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