Individual
MATHEW JAMES GIBLET
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3080 W 3RD ST, ELK CITY, OK 73644-4323
(580) 303-9515
Mailing address
PO BOX 545, CANUTE, OK 73626-0545
(405) 519-9248
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/31/2024
Last updated
10/31/2024
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