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Antonio L Gibson SR.
Driver in Greenfield, Indiana
NPI 1508624016

Antonio L Gibson SR. is a Driver based in Greenfield, IN. Antonio L Gibson SR. practices in Greenfield, IN. The NPI Number for Antonio L Gibson SR. is 1508624016 and holds a License No. 202303151673406 (Indiana).

The current practice location address for Antonio L Gibson SR. is 594 Geronimo Dr, Greenfield, IN and can be reached out via phone at 317-413-8137.

Location: 594 Geronimo Dr, Greenfield, IN, 46140-9375
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1508624016
Provider Name
Antonio L Gibson SR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
594 Geronimo Dr, Greenfield, IN, 46140-9375
Phone Number
317-413-8137
Fax Number
Provider Enumeration Date
03/08/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
594 Geronimo Dr
City
Greenfield
State
Indiana
Zip
46140-9375
Phone Number
317-413-8137
Fax Number
person
Provider Business Mailing Address Details
Address
594 Geronimo Dr
City
Greenfield
State
Indiana
Zip
46140-9375
Phone Number
317-413-8137
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Contractor
Speciality
Vehicle Modifications
Taxonomy
171WV0202X
License No.
202303151673406 (Indiana)
Definition
A contractor who makes modifications to private vehicles to accommodate a health condition.
person
Provider's Taxonomy Details 2
Type
Other Service Providers
Classification
Driver
Speciality
-
Taxonomy
172A00000X
License No.
202303151673406 (Indiana)
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
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