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Individual
MISTY DAWN GIBB
Active
Individual
MISTY DAWN GIBB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
EMT, BI
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
146N00000X
Basic Emergency Medical Technician
E162320
CA
Other
Enumeration date
05/21/2024
Last updated
05/21/2024
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