Individual
KRISTEN GIBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
586 HENDERSON ST, MOUNT OLIVE, NC 28365-1207
(919) 658-7810
Mailing address
586 HENDERSON ST, MOUNT OLIVE, NC 28365-1207
(919) 658-7810
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2002
NC
Other
Enumeration date
04/04/2014
Last updated
04/04/2014
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