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1255888426
JONATHAN GIBBS
SHAWNEE, OK
NPI
1255888426
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2016-09-06
Last Update Date
2016-09-06
Business Address
-- JONATHAN GIBBS
1127 N KICKAPOO AVE
SHAWNEE, OK 74801-4845
Phone number: 405-214-0116
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Mailing Address
-- JONATHAN GIBBS
1310 N BEARD AVE
SHAWNEE, OK 74801-4910
Phone number: 405-214-0116
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