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1134824519
MICKEY GIBSON
BOSSIER CITY, LA
NPI
1134824519
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
376J00000X Homemaker
Enumeration Date
2023-04-04
Last Update Date
2023-04-04
Business Address
MICKEY GIBSON
126 PLANTATION TRCE
BOSSIER CITY, LA 71112-8806
Phone number: 318-245-1120
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Mailing Address
MICKEY GIBSON
126 PLANTATION TRCE
BOSSIER CITY, LA 71112-8806
Phone number:
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