Individual
JEFFREY GAUDREAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
215 FAIRGROUNDS RD, GUTHRIE, OK 73044-4761
(405) 697-6237
(405) 282-5389
Mailing address
215 FAIRGROUNDS RD, GUTHRIE, OK 73044-4761
(405) 697-6237
(405) 282-5389
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
630
OK
Other
Enumeration date
04/14/2017
Last updated
04/14/2017
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