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1740225606
DEBRA ELAINE GIBSON
PONCA CITY, OK
NPI
1740225606
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Former Name
DEBRA ELAINE BROCK
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: OK 2753)
Enumeration Date
2006-06-17
Last Update Date
2007-07-08
Business Address
-- DEBRA ELAINE GIBSON LPC
1500 N 6TH ST
PONCA CITY, OK 74601-2827
Phone number: 580-762-7561
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Mailing Address
-- DEBRA ELAINE GIBSON LPC
1900 N OSAGE ST
PONCA CITY, OK 74601-1144
Phone number: 580-762-1812
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