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1962933135
MICHAEL A GIBSON
EUREKA, CA
NPI
1962933135
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2017-03-21
Last Update Date
2017-03-21
Business Address
-- MICHAEL A GIBSON
3300 GLENWOOD ST
EUREKA, CA 95501-3463
Phone number: 707-444-8293
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Mailing Address
-- MICHAEL A GIBSON
5018 VALLEY EAST BLVD APT F
ARCATA, CA 95521
Phone number: 310-654-3910
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