Individual
ANTON L GIBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BHRS
Contact information
Practice address
1305 N SHARTEL AVE, OKLAHOMA CITY, OK 73103-2403
(405) 702-6677
(405) 702-6680
Mailing address
1305 N SHARTEL AVE, OKLAHOMA CITY, OK 73103-2403
(405) 702-6677
(405) 702-6680
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/03/2013
Last updated
05/03/2013
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