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Ms. Heather Dale Gibson
Student in an Organized Health Care Education/Training Program in Minerva, Ohio
NPI 1992941413

Heather Dale Gibson is a Student in an Organized Health Care Education/Training Program based in Minerva, OH. Heather Dale Gibson practices in Minerva, OH. The NPI Number for Heather Dale Gibson is 1992941413 and holds a License No. 3651361 (Ohio).

The current practice location address for Heather Dale Gibson is 8005 Stump Rd, Minerva, OH and can be reached out via phone at 330-412-8678.

Location: 8005 Stump Rd, Minerva, OH, 44657-9002
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1992941413
Provider Name
Heather Dale Gibson
Credential
Provider Entity Type
Individual
Gender
Male
Address
8005 Stump Rd, Minerva, OH, 44657-9002
Phone Number
330-412-8678
Fax Number
Provider Enumeration Date
01/05/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
8005 Stump Rd
City
Minerva
State
Ohio
Zip
44657-9002
Phone Number
330-412-8678
Fax Number
person
Provider Business Mailing Address Details
Address
8005 Stump Rd
City
Minerva
State
Ohio
Zip
44657-9002
Phone Number
330-412-8678
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
3651361 (Ohio)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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