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Individual

GRACIELA GALLARDO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
5101 W MEMORIAL RD, OKLAHOMA CITY, OK 73142-2018
(405) 752-9600
(405) 752-9650
Mailing address
1701 RENAISSANCE BLVD, SUITE 110, EDMOND, OK 73013-3086
(405) 844-4978
(405) 844-0562

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25140
OK

Other

Enumeration date
02/12/2007
Last updated
11/29/2016
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