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1508627266
JOHANNA GIBSON
MOORE, OK
NPI
1508627266
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2024-01-19
Last Update Date
2024-01-19
Business Address
JOHANNA GIBSON
620 NW 5TH ST STE D
MOORE, OK 73160-3947
Phone number: 405-208-4469
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Mailing Address
JOHANNA GIBSON
620 NW 5TH ST STE D
MOORE, OK 73160-3947
Phone number: 405-208-4469
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