Individual
ELLIOTT L GABBIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9295 RIVERSIDE PKWY APT 16G, TULSA, OK 74137-7341
(817) 271-5111
Mailing address
9295 RIVERSIDE PKWY APT 16G, TULSA, OK 74137-7341
(817) 271-5111
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/18/2019
Last updated
07/18/2019
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