Individual
TONI KAY GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPH
Contact information
Practice address
301 WEST GRAND AVE, PONCA CITY, OK 74601-5118
(580) 765-4456
(580) 765-0668
Mailing address
PO BOX 1173, PONCA CITY, OK 74602-1173
(580) 765-4780
(580) 765-0668
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
8104
OK
Other
Enumeration date
09/27/2006
Last updated
07/08/2007
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