Individual
TRAVIS W GAMESON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.ED, MPH, LBP
Contact information
Practice address
101 E GRAY ST STE C, NORMAN, OK 73069-7257
(405) 360-2133
Mailing address
356 MILLBROOK DR, NORMAN, OK 73072-4750
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
177 INACTIVE
OK
Other
Enumeration date
05/23/2007
Last updated
07/08/2007
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