Individual
DEBRYONTEA VASHAUN GATSON I
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
900 E MAIN ST, NORMAN, OK 73071-5305
(405) 321-4880
Mailing address
200 SUTTON CIR APT 209, MOORE, OK 73160-4664
(405) 443-0356
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
OK
Other
Enumeration date
04/12/2022
Last updated
04/12/2022
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