Individual
CHRISTINE J GANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1815 N UNION ST, PONCA CITY, OK 74601-2440
(580) 686-0202
Mailing address
PO BOX 182, PONCA CITY, OK 74602-0182
(580) 686-0202
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
—
—
175T00000X
Peer Specialist
134600
OK
Other
Enumeration date
10/24/2023
Last updated
12/19/2024
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