Individual
HANNAH E GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
STUDENT
Contact information
Practice address
26240 US HIGHWAY 75, BARTLESVILLE, OK 74006-0600
(918) 440-7399
Mailing address
26240 US HIGHWAY 75, BARTLESVILLE, OK 74006-0600
(918) 440-7399
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/23/2024
Last updated
05/23/2024
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