Individual
MR. MICHAEL BENNIE GIBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.N.
Contact information
Practice address
1142 ROBIN HOOD LN, NORMAN, OK 73072-7502
(405) 329-6092
Mailing address
1142 ROBIN HOOD LN, NORMAN, OK 73072-7502
(405) 329-6092
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
R0047465
OK
Other
Enumeration date
01/11/2008
Last updated
01/11/2008
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