Individual
GAIL MARIE EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC
Contact information
Practice address
1725 E 19TH ST STE 100, TULSA, OK 74104-5426
(918) 742-7376
(918) 743-2117
Mailing address
1725 E 19TH ST STE 100, TULSA, OK 74104-5426
(918) 742-7376
(918) 743-2117
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
71
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100659530 A
—
OK
Enumeration date
12/03/2008
Last updated
12/05/2008
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