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Individual

GINA PHILLIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2622 N MERIDIAN AVE APT 206, OKLAHOMA CITY, OK 73107-1003
(405) 482-7856
Mailing address
1200 NE 13TH ST, OKLAHOMA CITY, OK 73117-1022

Taxonomy

Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary

Other

Enumeration date
08/23/2017
Last updated
08/23/2017
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  • EDI platform