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1841953197
NICHOLAS L GIBSON
SOMERSET, KY
NPI
1841953197
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date
2021-10-14
Last Update Date
2021-10-14
Business Address
NICHOLAS L GIBSON B.A.
307 CLIFTY ST STE 101
SOMERSET, KY 42501-1666
Phone number: 800-805-6989
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Mailing Address
NICHOLAS L GIBSON B.A.
1102 TRAILS END
SOMERSET, KY 42503-6300
Phone number:
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