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Individual

CURTIS LEE GIBSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
ATC

Contact information

Practice address
760 PILGRIM WAY, GREEN BAY, WI 54304-5263
(920) 496-4750
Mailing address
760 PILGRIM WAY, P.O. BOX 19070, GREEN BAY, WI 54304-5263
(920) 496-4750

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
826-039
WI

Other

Enumeration date
07/03/2008
Last updated
07/03/2008
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