Individual
ERIN GAGNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2616 SW 65TH ST, OKLAHOMA CITY, OK 73159-2728
(405) 317-1525
Mailing address
2616 SW 65TH ST, OKLAHOMA CITY, OK 73159-2728
(405) 317-1525
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/26/2018
Last updated
03/26/2018
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