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1790484129
JACOB CHRISTOPHER GIBNEY
DES MOINES, IA
NPI
1790484129
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IA 092420)
Enumeration Date
2023-02-24
Last Update Date
2023-02-24
Business Address
JACOB CHRISTOPHER GIBNEY LAT, ATC, CEAS
450 LAUREL ST
DES MOINES, IA 50314-3045
Phone number: 515-323-6485
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Mailing Address
JACOB CHRISTOPHER GIBNEY LAT, ATC, CEAS
385 HILLSIDE DR
PLEASANT HILL, IA 50327-2337
Phone number: 563-468-7478
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