Individual
JEANETTE GOWDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
7302 S YALE AVE, TULSA, OK 74136-7027
(918) 591-2510
(855) 855-4102
Mailing address
7302 S YALE AVE, TULSA, OK 74136-7027
(918) 591-2510
(855) 855-4102
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
0022562
OK
Other
Enumeration date
05/20/2019
Last updated
05/20/2019
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