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Individual

BRUCE GIBLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
QMHP

Contact information

Practice address
58646 MCNULTY WAY, SAINT HELENS, OR 97051-6210
(503) 397-5211
(503) 397-5373
Mailing address
PO BOX 1234, SAINT HELENS, OR 97051-8234
(503) 397-5211
(503) 397-5373

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
OR

Other

Enumeration date
05/11/2017
Last updated
05/11/2017
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