Individual
GABRIELLE LESLIE VANORSDOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11 DAISY AVE, BRISTOW, OK 74010-4412
(918) 290-9353
Mailing address
11 DAISY AVE, BRISTOW, OK 74010-4412
(918) 290-9353
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
OK
Other
Enumeration date
01/12/2026
Last updated
01/12/2026
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