Individual
PAUL GASPARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
24962 OKAY RD, TECUMSEH, OK 74873-6504
(504) 327-3129
Mailing address
20 E 9TH ST STE 404, SHAWNEE, OK 74801-6957
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
05/26/2023
Last updated
05/26/2023
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