Individual
MR. RONNIE GAINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1217 E 33RD ST, TULSA, OK 74105-2017
(918) 779-4556
Mailing address
7295 W 510, PRYOR, OK 74361-7351
(918) 373-4494
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
OK
Other
Enumeration date
12/03/2014
Last updated
12/03/2014
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