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1801495494
STEPHANIE GIBSON
SENECA, SC
NPI
1801495494
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: SC 24222)
Enumeration Date
2020-10-23
Last Update Date
2023-09-26
Business Address
STEPHANIE GIBSON FNP
12016 N RADIO STATION RD
SENECA, SC 29678-1143
Phone number: 864-882-6141
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Mailing Address
STEPHANIE GIBSON FNP
300 E MCBEE AVE FL 4
GREENVILLE, SC 29601-2842
Phone number: 864-522-8614
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