Individual
STEPHANIE GOSSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D PH
Contact information
Practice address
2008 W GARY BLVD, CLINTON, OK 73601-5302
(580) 323-1136
Mailing address
24087 E 1300 RD, MOUNTAIN VIEW, OK 73062-9543
(580) 819-1442
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18482
OK
Other
Enumeration date
01/31/2020
Last updated
01/31/2020
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