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Individual

DANIEL CHRISTOPHER GIBBONS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1414 N NEVADA AVE, COLORADO SPRINGS, CO 80907-7431
(719) 377-0421
(719) 377-0421
Mailing address
1414 N. NEVADA AVENUE, COLORADO SPRINGS, CO 80907
(719) 377-0421

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
NLC.0103370
CO

Other

Enumeration date
11/29/2017
Last updated
11/29/2017
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