Individual
MR. JEFFERY GAMBILL COWEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S. SLP-CCC
Contact information
Practice address
17110 E 51ST ST, BROKEN ARROW, OK 74012-9279
(918) 355-1596
Mailing address
17110 E 51ST ST, BROKEN ARROW, OK 74012-9279
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3391
OK
Other
Enumeration date
05/14/2013
Last updated
05/14/2013
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