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1215770045
TRAVIS K GIBSON
TULSA, OK
NPI
1215770045
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-06-18
Last Update Date
2024-06-18
Business Address
TRAVIS K GIBSON
1111 W 17TH ST
TULSA, OK 74107-1886
Phone number: 480-518-1677
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Mailing Address
TRAVIS K GIBSON
3712 SILVER OAK CT
TULSA, OK 74107-4050
Phone number: 480-518-1677
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