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Mary Gibson
NPI 1881288462 · on the registry since 2021 · sole proprietor
Practice
- Address
- 795 W Overland Rd
Meridian, ID 83642 - Phone
- (208) 917-6902
- Organisation at this address
- Walmart Inc.
Wal-Mart Stores, Inc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 6
Registry record
- Primary taxonomy
- 183500000X
183500000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-02-24
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 Idaho