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1932951191
ANTOINETTE LYNNE GIBSON
SAN DIEGO, CA
NPI
1932951191
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TX 1139689)
Enumeration Date
2024-04-02
Last Update Date
2024-04-02
Business Address
ANTOINETTE LYNNE GIBSON
5930 CORNERSTONE CT W
SAN DIEGO, CA 92121-3741
Phone number: 866-687-7390
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Mailing Address
ANTOINETTE LYNNE GIBSON
13010 CHESTNUT STREAM TRL
HOUSTON, TX 77070-1174
Phone number: 210-724-3483
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