Individual
JOANN ROSE GULLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
124 E 6TH ST, PAWHUSKA, OK 74056-4204
(918) 604-6054
(918) 777-9018
Mailing address
124 E 6TH ST, PAWHUSKA, OK 74056-4204
(918) 604-6054
(918) 777-9018
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
09/27/2021
Last updated
09/27/2021
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