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Organization
GOLD BISON ENTERPRISES, P.C.
Active
Organization
GOLD BISON ENTERPRISES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY R. MASHUNKASHEY M.A., CCC-SLP (PRESIDENT)
(918) 766-1151
Entity
Organization
Contact information
Practice address
6105 SE NOWATA ROAD, SUITE 107, BARTLESVILLE, OK 74006-0000
(918) 766-1151
(918) 335-3795
Mailing address
118 FLEETWOOD PL, BARTLESVILLE, OK 74006-8315
(918) 766-1151
(918) 333-3187
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2734
OK
Other
Enumeration date
03/08/2011
Last updated
03/08/2011
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