Individual
ELIJAH GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3940 CORNHUSKER HWY STE 100, LINCOLN, NE 68504-1509
(402) 630-1275
Mailing address
7501 O ST STE 105, LINCOLN, NE 68510-2485
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
07/08/2025
Last updated
07/08/2025
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