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JANELL MARIE GIBSON LDEM

Other Service Providers Midwife

Provider NPI: 1760722300

Provider Information:
 JANELL MARIE GIBSON LDEM
Gender: F
Sole Proprietor

Practice Location:
506 5TH ST N  COLUMBUS, MT 59019 US
Tel: 406-321-2158  Fax: 406-322-5080

Business Mailing Address:
506 5TH ST N  COLUMBUS, MT 59019 US
Tel: 406-321-2158  Fax: 406-322-5080

NPI Information:
NPI: 1760722300
Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y176B00000XOther Service Providers
Midwife
MT808

Other Provider Identifiers:

IssuerNumberStateType



American Medical Association 2012 taxonomy code information

Code: 176B00000X

Type:

Classification:



Definition:



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