Individual
DENISE ERGANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4710 S DIVISION ST, GUTHRIE, OK 73044-6506
(405) 282-5524
Mailing address
4710 S DIVISION ST, GUTHRIE, OK 73044-6506
(405) 282-5524
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
11/20/2018
Last updated
11/20/2018
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