Individual
MRS. BRITTA GIBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
604 CAMPBELL ST, VALPARAISO, IN 46385-4630
(219) 916-1491
Mailing address
604 CAMPBELL ST, VALPARAISO, IN 46385-4630
(219) 916-1491
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
1420-49-4336
IN
Other
Enumeration date
06/26/2014
Last updated
08/05/2014
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