Individual
CLINT RAY GIBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
STATION #14, UWA, LIVINGSTON, AL 35470
(865) 414-4262
Mailing address
STATION #14, UWA, LIVINGSTON, AL 35470
(865) 414-4262
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
08/09/2013
Last updated
08/09/2013
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