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1003588427
MIKE W GIBSON
MESQUITE, TX
NPI
1003588427
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
343900000X Non-emergency Medical Transport (VAN)
(Licence: TX 804211277)
Enumeration Date
2021-10-04
Last Update Date
2021-10-04
Business Address
MIKE W GIBSON
617 N EBRITE ST
MESQUITE, TX 75149-3453
Phone number: 972-850-9945
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Mailing Address
MIKE W GIBSON
3330 N GALLOWAY AVE STE 304-119
MESQUITE, TX 75150-4728
Phone number: 972-571-9273
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