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1144577529
JACOB GIBSON
SOUTH JORDAN, UT
NPI
1144577529
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: UT 5642816-3902)
Enumeration Date
2012-08-05
Last Update Date
2012-08-05
Business Address
Dr. JACOB GIBSON PhD, LMFT
11607 LAMPTON VIEW DR
SOUTH JORDAN, UT 84095-7898
Phone number: 801-301-2450
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Mailing Address
Dr. JACOB GIBSON PhD, LMFT
11607 LAMPTON VIEW DR
SOUTH JORDAN, UT 84095-7898
Phone number: 801-301-2450
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