Individual
BENJAMIN GIBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
17273 STATE ROUTE 104, CHILLICOTHE, OH 45601-9718
(740) 255-0804
Mailing address
PO BOX 2361, BUCKEYE LAKE, OH 43008-2361
(740) 255-0804
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
399354
OH
Other
Enumeration date
05/08/2023
Last updated
05/08/2023
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