JACOB GIBSON

MOUNTAIN HOME, ID
NPI1366060956
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence:   PT-6700)
Enumeration Date2020-07-09
Last Update Date2020-07-09
Business Address
JACOB GIBSON
245 N 3RD E
MOUNTAIN HOME, ID 83647-2734
Phone number: 208-587-8255
Mailing Address
JACOB GIBSON
245 N 3RD E
MOUNTAIN HOME, ID 83647-2734
Phone number: 208-587-8255
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