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Individual
JACOB CHRISTOPHER GIBNEY
Active
Individual
JACOB CHRISTOPHER GIBNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAT, ATC, CEAS
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
092420
IA
Other
Enumeration date
02/24/2023
Last updated
02/24/2023
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