Individual
MR. CHARLEY FRANK GIBBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
4400 N LINCOLN BLVD, OKLAHOMA CITY, OK 73105-5104
(405) 424-7711
Mailing address
4400 N LINCOLN BLVD, OKLAHOMA CITY, OK 73105-5104
(405) 424-7711
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R51944
OK
Other
Enumeration date
09/13/2010
Last updated
09/13/2010
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