Individual
MRS. CAROL S GOSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
501 N MAIN ST, SUITE 42, MUSKOGEE, OK 74401-6348
(918) 681-2020
Mailing address
501 N MAIN ST, SUITE 42, MUSKOGEE, OK 74401-6348
(918) 681-2020
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
05/04/2007
Last updated
07/08/2007
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