Individual
MRS. DANICA GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1312 N 1ST AVE, DURANT, OK 74701-2810
(580) 920-2069
(580) 920-1010
Mailing address
1312 N 1ST AVE, DURANT, OK 74701-2810
(580) 920-2069
(580) 910-1010
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/02/2021
Last updated
02/02/2021
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