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1790043263
MELISSA D. GIBBS
FAIRFIELD, IL
NPI
1790043263
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: IL 043075009)
Enumeration Date
2012-05-02
Last Update Date
2012-05-02
Business Address
-- MELISSA D. GIBBS LPN
209 NW 11TH ST
FAIRFIELD, IL 62837-1218
Phone number: 618-842-4470
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Mailing Address
-- MELISSA D. GIBBS LPN
PO BOX 155
CHRISTOPHER, IL 62822-0155
Phone number: 618-724-2436
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