Individual
VICKI GAYLE DAVIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MED
Contact information
Practice address
34183 COUNTRY CLUB LN, POTEAU, OK 74953-9122
(918) 649-7641
Mailing address
34183 COUNTRY CLUB LN, POTEAU, OK 74953-9122
(918) 649-7641
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/10/2010
Last updated
08/10/2010
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