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1922261569
CURTIS LEE GIBSON
GREEN BAY, WI
NPI
1922261569
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: WI 826-039)
Enumeration Date
2008-07-03
Last Update Date
2008-07-03
Business Address
-- CURTIS LEE GIBSON ATC
760 PILGRIM WAY
GREEN BAY, WI 54304-5263
Phone number: 920-496-4750
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Mailing Address
-- CURTIS LEE GIBSON ATC
760 PILGRIM WAY P.O. BOX 19070
GREEN BAY, WI 54304-5263
Phone number: 920-496-4750
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