Individual
MS. JESTINE A GAHAGAN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
X RAY TECHNICIAN
Contact information
Practice address
603 E PINE ST, TULSA, OK 74106-4849
(918) 295-6137
(918) 582-0529
Mailing address
603 E PINE ST, TULSA, OK 74106-4849
(918) 295-6137
(918) 582-0529
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
Primary
259819
OK
Other
Enumeration date
10/13/2005
Last updated
07/08/2007
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