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Miranda Gibson

NPI 1942822440 · on the registry since 2020 · sole proprietor

Practice

Address
115 W State St
North Baltimore, OH 45872
Phone
(833) 216-3079
Clinicians at this address
8

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Licence states on file
NULL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2020-05-07

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio