Jacey Gibbons

NPI #1962156554 in Sartell, Minnesota

Provider Information

NPI Number: 1962156554
Entity Type: Individual
Name: Jacey Gibbons
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Enumeration Date: Feb 11, 2022
Last Updated: Dec 3, 2024

Practice Location

Address: 1801 AMBER AVE S
City: Sartell
State: Minnesota
ZIP Code: 56377-7507
Phone: (320) 281-5306

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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