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Individual
JONATHAN GIBSON
Active
Individual
JONATHAN GIBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
HC0011912
LA
251E00000X
Home Health Agency
Primary
—
LA
261QA0600X
Adult Day Care Clinic/Center
—
NULL
Other
Enumeration date
02/07/2017
Last updated
04/20/2023
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