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1275992802
CLETUS GIBBS
FREDERICK, OK
NPI
1275992802
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
Enumeration Date
2016-02-10
Last Update Date
2016-02-10
Business Address
CLETUS GIBBS
1500 NORTH MAIN
FREDERICK, OK 73542
Phone number: 580-335-3320
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Mailing Address
CLETUS GIBBS
1625 N 13TH ST APARTMENT 8
FREDERICK, OK 73542-1433
Phone number: 580-210-8215
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