Individual
GABRIELLE SUE BOTTGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
540 ILLINOIS ST, PAWNEE, OK 74058-2036
(918) 762-1045
(918) 762-2214
Mailing address
540 ILLINOIS ST, PAWNEE, OK 74058-2036
(918) 762-1045
(918) 762-2214
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/04/2023
Last updated
09/04/2023
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