Individual
DAVID W GENTRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CCC/SLP
Contact information
Practice address
49167 140TH ST, BYARS, OK 74831-7305
(580) 759-6424
(580) 759-3396
Mailing address
49167 140TH ST, BYARS, OK 74831-7305
(580) 759-6424
(580) 759-3396
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2719
OK
Other
Enumeration date
09/20/2006
Last updated
07/08/2007
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