Individual
GABRIELLE FIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2129 SW 59TH ST, OKLAHOMA CITY, OK 73119-7024
(405) 772-4150
Mailing address
18200 PIEDRA DR, EDMOND, OK 73012-7632
(405) 886-4358
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/03/2021
Last updated
11/03/2021
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