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Individual

KIMBERLY GUSHING

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BSN RN

Contact information

Practice address
12400 SW 15TH ST, YUKON, OK 73099-7734
(405) 256-6475
Mailing address
12400 SW 15TH ST, YUKON, OK 73099-7734
(405) 256-6475

Taxonomy

Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
53627
OK

Other

Enumeration date
04/10/2026
Last updated
04/10/2026
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