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1629383427
JACOB GIBBS
FAYETTEVILLE, AR
NPI
1629383427
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2010-08-17
Last Update Date
2010-08-17
Business Address
JACOB GIBBS MHPP/TACHER
2805 E ZION RD
FAYETTEVILLE, AR 72703-5195
Phone number: 479-443-6496
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Mailing Address
JACOB GIBBS MHPP/TACHER
3352 N FUTRALL DR
FAYETTEVILLE, AR 72703-4057
Phone number: 479-521-1427
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