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1710513841
JEFFREY GIBSON
ASHLAND, KY
NPI
1710513841
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
175T00000X Peer Specialist
Additional Taxonomies
101Y00000X Counselor
Enumeration Date
2020-03-20
Last Update Date
2021-01-13
Business Address
JEFFREY GIBSON
201 22ND ST
ASHLAND, KY 41101-7803
Phone number: 606-324-1141
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Mailing Address
JEFFREY GIBSON
PO BOX 790
ASHLAND, KY 41105-0790
Phone number: 606-329-8588
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