Individual
MRS. STEVIE RAE GOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
403 E EXCELSIOR, VINITA, OK 74301
(918) 256-6476
Mailing address
403 E EXCELSIOR, VINITA, OK 74301
(918) 256-6476
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
136079
OK
Other
Enumeration date
03/23/2021
Last updated
03/23/2021
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