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Organization
GILEAD TELEHEALTH
Active
Organization
GILEAD TELEHEALTH
Active
Other names
Gilead Telehealth
Organization subpart
No
Provider details
NPI number
Authorized official
MAGDALINE ETAWU EPIE APRN, CNP, PMHNP (PSYCHIATRIC NURSE PRACTITIONER)
(240) 551-3447
Entity
Organization
Contact information
Practice address
200 VICKSBURG AVE APT M2, NORMAN, OK 73071-2479
(240) 551-3447
(405) 217-2058
Mailing address
200 VICKSBURG AVE APT M2, NORMAN, OK 73071-2479
(240) 551-3447
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
EIN
—
OK
Enumeration date
09/14/2021
Last updated
09/14/2021
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