Mickey Gibson
Mickey Gibson is a Homemaker in Bossier City, Louisiana. Practices as a sole proprietor. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
126 Plantation TrceBossier City, LA 71112-8806
Phone: (318) 245-1120
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Homemaker (primary) | Taxonomy 376J00000X |
|---|
Record details
| NPI number | 1134824519 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | April 4, 2023 |
| Last updated in NPPES | April 4, 2023 |
| Certification date | April 4, 2023 |
| Mailing address | 126 Plantation Trce, Bossier City, LA 71112-8806 |
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