Individual
HELEN CELESTE GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
711 N BULLITT ST, HOLDENVILLE, OK 74848-3804
(405) 379-6668
(405) 379-5372
Mailing address
PO BOX 590, HOLDENVILLE, OK 74848-0590
(405) 379-6668
(405) 379-5372
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
0077969
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0077969
REGISTERED NURSE
OK
Enumeration date
04/02/2007
Last updated
07/08/2007
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