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Individual

JOHN G GIBSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RN

Contact information

Practice address
2250 SOQUEL AVE STE 150, SANTA CRUZ, CA 95062-1402
(347) 479-5873
Mailing address
2250 SOQUEL AVE STE 150, SANTA CRUZ, CA 95062-1402
(347) 479-5873

Taxonomy

Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
95170328
CA

Other

Enumeration date
12/09/2024
Last updated
12/09/2024
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