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Individual

MISS KATINA GAYLE GOFF

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
27191 E 121ST ST S APT 208, COWETA, OK 74429-5982
(918) 413-1800
Mailing address
PO BOX 976, COWETA, OK 74429-0976
(918) 413-1800

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
10/11/2023
Last updated
10/11/2023
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