Individual
VICKI GILSTRAP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
40178 S CR 4550 RD., KEOTA, OK 74941-6483
(918) 966-3731
Mailing address
40178 S CR 4550 RD., KEOTA, OK 74941-6483
(918) 966-3731
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
04/25/2011
Last updated
04/25/2011
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