Individual
MRS. JULIE MICHELLE GORDON-SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPH
Contact information
Practice address
921 NE 13TH ST, OKLAHOMA CITY, OK 73104-5007
(405) 456-1000
Mailing address
4104 PASCALI CT, YUKON, OK 73099-2170
(480) 208-7855
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12187
OK
Other
Enumeration date
10/26/2005
Last updated
09/13/2013
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