Individual
MR. CHARLES KEITH GIBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4110 ANN ELISE CT, FAIRFIELD TOWNSHIP, OH 45011-6211
(513) 907-1843
Mailing address
4110 ANN ELISE CT, FAIRFIELD TOWNSHIP, OH 45011-6211
(513) 907-1843
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
09/24/2020
Last updated
09/24/2020
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