Individual
MR. DOUGLAS AARON GIBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
59247 ARMSTRONG CENTERVILLE RD, JACOBSBURG, OH 43933-9797
(740) 213-5299
Mailing address
59247 ARMSTRONG CENTERVILLE RD, JACOBSBURG, OH 43933-9797
(740) 213-5299
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN.132225-M-IV
OH
Other
Enumeration date
12/28/2010
Last updated
12/28/2010
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