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Individual

DARRELL LAMONT GIBBS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
2081 W GRAND BLVD, DETROIT, MI 48208-1196
(313) 895-0500
(313) 895-9503
Mailing address
707 W MILWAUKEE ST, DETROIT, MI 48202-2943
(313) 344-9099

Taxonomy

Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary

Other

Enumeration date
09/10/2018
Last updated
06/02/2023
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