JAQUAN LAMONT GIBSON

COLUMBUS, OH
NPI1063285609
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy3747P1801X Technician, Personal Care Attendant
Additional Taxonomies376J00000X Homemaker
Enumeration Date2023-11-06
Last Update Date2023-11-06
Business Address
Mr. JAQUAN LAMONT GIBSON
2616 DENMARK RD
COLUMBUS, OH 43232-4632
Phone number: 614-554-9172
Mailing Address
Mr. JAQUAN LAMONT GIBSON
2616 DENMARK RD
COLUMBUS, OH 43232-4632
Phone number: 614-554-9172
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