Individual
MS. DEBRA ANN GENTRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC
Contact information
Practice address
600 N DEWEY AVE STE 100, OKLAHOMA CITY, OK 73102-1626
(405) 290-7322
(405) 290-7325
Mailing address
5700 NW 66TH ST, WARR ACRES, OK 73132-7765
(405) 834-2885
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
131001
OK
Other
Enumeration date
01/14/2010
Last updated
10/10/2023
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