THEODORE DWAYNE GIBSON

HOBART, IN
NPI1639152473
Entity TypeIndividual
GenderMale
Sole Proprietor ?
Primary Taxonomy246ZS0410X Specialist/Technologist, Other Surgical Technologist
Enumeration Date2005-11-25
Last Update Date2007-07-08
Business Address
MR. THEODORE DWAYNE GIBSON CST/CFA
1500 S LAKE PARK AVE
HOBART, IN 46342-6638
Phone number: 219-947-6425
Mailing Address
MR. THEODORE DWAYNE GIBSON CST/CFA
1671 RUBY CT
HOBART, IN 46342-6507
Phone number: 219-945-1572