Individual
SARAH RENEE GILMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
526 N. BREWER, VINITA, OK 74301
(918) 244-6449
Mailing address
405 E EXCELSIOR AVE, VINITA, OK 74301-4226
(918) 256-6467
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
OK
Other
Enumeration date
07/08/2018
Last updated
07/08/2018
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