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Individual

MRS. GWEN C DOSHIER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
COTA

Contact information

Practice address
18244 COUNTY LINE AVE, ALEX, OK 73002-2416
(405) 397-7779
Mailing address
18244 COUNTY LINE AVE, ALEX, OK 73002-2416
(405) 397-7779

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
994
OK

Other

Enumeration date
02/16/2012
Last updated
02/16/2012
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