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Individual

DESARAE GIBSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1101 E MONROE AVE, MCALESTER, OK 74501-4815
(918) 426-7800
Mailing address
1101 E MONROE AVE, MCALESTER, OK 74501-4815

Taxonomy

Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
OK

Other

Enumeration date
01/28/2022
Last updated
01/28/2022
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