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1992348551
CHARLES C GIBSON
WARREN, AR
NPI
1992348551
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2019-10-25
Last Update Date
2019-10-25
Business Address
CHARLES C GIBSON
1404 E CHURCH ST
WARREN, AR 71671
Phone number: 870-226-6955
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Mailing Address
CHARLES C GIBSON
790 ROBERTS DR
MONTICELLO, AR 71655-5723
Phone number: 870-723-5324
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