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1508299868
CLINT RAY GIBSON
LIVINGSTON, AL
NPI
1508299868
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2013-08-09
Last Update Date
2013-08-09
Business Address
-- CLINT RAY GIBSON ATC
STATION #14, UWA
LIVINGSTON, AL 35470
Phone number: 865-414-4262
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Mailing Address
-- CLINT RAY GIBSON ATC
STATION #14, UWA
LIVINGSTON, AL 35470
Phone number: 865-414-4262
Copy
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