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1649734997
JUSTIN GEORGE GIBSON
HUGO, OK
NPI
1649734997
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2019-01-30
Last Update Date
2019-01-30
Business Address
JUSTIN GEORGE GIBSON
100 N 5TH ST
HUGO, OK 74743-4005
Phone number: 580-775-9191
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Mailing Address
JUSTIN GEORGE GIBSON
PO BOX 105
BOKCHITO, OK 74726-0105
Phone number: 580-775-9191
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