Gracie Noel Gibson I
Gracie Noel Gibson I is a Student in an Organized Health Care Education/Training Program in Louisville, Kentucky. Practices as a sole proprietor. Licensed in Indiana.
- Licensed in
- IN
- In the registry since
- 2024
Practice location Address checks out
2100 Gardiner LnLouisville, KY 40205-2962
Phone: (502) 413-8640
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X · Licence 45023393A (IN) |
|---|
Record details
| NPI number | 1689405953 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | August 9, 2024 |
| Last updated in NPPES | August 9, 2024 |
| Certification date | August 9, 2024 |
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