Individual
MRS. GWYNETH LEIGH HOLDERBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
800 SHARE DR, ALVA, OK 73717-3618
(580) 327-2800
Mailing address
RR 1 BOX 354, BYRON, OK 73722-9507
(405) 880-4714
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
96130
OK
Other
Enumeration date
04/15/2014
Last updated
06/15/2014
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