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1023507738
JIMMY GIBBS
CARMEL, NY
NPI
1023507738
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2018-05-08
Last Update Date
2018-05-08
Business Address
JIMMY GIBBS
21 OLD ROUTE 6
CARMEL, NY 10512-2107
Phone number: 845-225-5202
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Mailing Address
JIMMY GIBBS
79 GLENRIDGE RD
GLENVILLE, NY 12302-4523
Phone number: 518-952-8408
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