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1790305431
JAMES EDWARD GIBSON
LONGMONT, CO
NPI
1790305431
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CO ACB.0008568)
Enumeration Date
2020-04-22
Last Update Date
2020-04-22
Business Address
JAMES EDWARD GIBSON CAC II
420 21ST AVE STE 113
LONGMONT, CO 80501-1441
Phone number: 303-834-9369
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Mailing Address
JAMES EDWARD GIBSON CAC II
420 21ST AVE
LONGMONT, CO 80501-1441
Phone number: 033-834-9369
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