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1962289462
DEYANIRA G GIBSON
RIVERSIDE, CA
NPI
1962289462
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: CA 95027062)
Enumeration Date
2023-09-11
Last Update Date
2023-09-11
Business Address
DEYANIRA G GIBSON
16254 BRIDGTON CIR
RIVERSIDE, CA 92503-5978
Phone number: 951-801-0594
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Mailing Address
DEYANIRA G GIBSON
16254 BRIDGTON CIR
RIVERSIDE, CA 92503-5978
Phone number: 951-801-0594
Copy
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