Individual
MS. JULIE GAYANICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
448 36TH AVE NW STE 101, NORMAN, OK 73072-4743
(405) 573-9905
(405) 701-0590
Mailing address
1624 NAPA VALLEY RD, EDMOND, OK 73013-2956
(405) 326-9705
(405) 285-0463
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
1149
OK
Other
Enumeration date
08/03/2006
Last updated
03/14/2008
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