Individual
GWENDOLYN JEAN WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3824 N MERIDIAN AVE STE 104, OKLAHOMA CITY, OK 73112-2805
(405) 602-0835
Mailing address
3308 PARKER DR, OKLAHOMA CITY, OK 73135-1438
(405) 670-3001
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/05/2010
Last updated
05/05/2010
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