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Desarae Gibson

Health & Wellness Coach in McAlester, OK. Individual provider (NPI-1).

NPI number1124771340
StatusActive
Last updated in NPPESJan 28, 2022

Details

NPI
1124771340
Entity type
Individual (NPI-1)
Name
Desarae Gibson
Sex
Female
Sole proprietor
No
Enumeration date
Jan 28, 2022
Certification date
Jan 27, 2022
Last updated
Jan 28, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171400000X Health & Wellness Coach–OKYes

Practice location

1101 E Monroe Ave
McAlester, OK 74501-4815

Phone 918-426-7800

Mailing address

1101 E Monroe Ave
McAlester, OK 74501-4815

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