Individual
KESHIMA GIBBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4130 N LINCOLN BLVD, OKLAHOMA CITY, OK 73105-5209
(405) 496-9402
Mailing address
412 ELM ST, MIDWEST CITY, OK 73110-4906
(469) 556-7277
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
12/13/2013
Last updated
12/13/2013
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