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Individual
SPENCER NEIL GIBSON
Active
Individual
SPENCER NEIL GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
RBT-18-68672
CA
207R00000X
Internal Medicine Physician
Primary
A199100
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/02/2018
Last updated
04/01/2026
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