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1467710855
NICHOLAS GIBSON
PRESTONSBURG, KY
NPI
1467710855
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2012-04-24
Last Update Date
2012-04-24
Business Address
-- NICHOLAS GIBSON
104 S FRONT AVE
PRESTONSBURG, KY 41653-1614
Phone number: 606-886-8572
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Mailing Address
-- NICHOLAS GIBSON
104 S FRONT AVE
PRESTONSBURG, KY 41653-1614
Phone number: 606-886-8572
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