Individual
REBECCA G AULD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1401 E VAN BUREN AVE, MCALESTER, OK 74501-4245
(918) 426-0240
Mailing address
PO BOX 908, MCALESTER, OK 74502-0908
(918) 426-0240
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
OK
Other
Enumeration date
12/11/2009
Last updated
12/11/2009
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