Individual
DILLON GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MAT, LAT, ATC
Contact information
Practice address
OKLAHOMA BAPTIST UNIVERSITY, 500 W. UNIVERSITY, SHAWNEE, OK 74804
(405) 585-5353
Mailing address
OKLAHOMA BAPTIST UNIVERSITY, 500 W. UNIVERSITY, SHAWNEE, OK 74804
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1063
OK
Other
Enumeration date
09/06/2018
Last updated
09/06/2018
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