Individual
MRS. DENISE MICHELLE GOSS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
RD/LD,CDE
Contact information
Practice address
1805 N YORK ST, STE E, MUSKOGEE, OK 74403-1404
(918) 687-0201
(918) 687-0665
Mailing address
24885 S 470 RD, TAHLEQUAH, OK 74464-1518
(918) 453-0238
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD876
OK
Other
Enumeration date
10/06/2005
Last updated
07/08/2007
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