Jackson Thomas Gibson
Jackson Thomas Gibson is a Student in an Organized Health Care Education/Training Program in Glendale, Arizona. Practices as a sole proprietor. Licensed in Arizona.
- Licensed in
- AZ
- In the registry since
- 2026
Practice location Address checks out
19555 N 59th AveGlendale, AZ 85308-6813
Phone: (623) 572-3200
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X (AZ) |
|---|
Record details
| NPI number | 1942127204 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | June 29, 2026 |
| Last updated in NPPES | June 29, 2026 |
| Certification date | June 30, 2026 |
| Mailing address | 19555 N 59th Ave, Glendale, AZ 85308-6813 |
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