JENNIFER DANIELLE GOUGE

CATOOSA, OK
NPI1023590676
Former NameJENNIFER DANIELLE PRENTICE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: OK  97758)
Enumeration Date2018-08-30
Last Update Date2022-07-29
Business Address
JENNIFER DANIELLE GOUGE
2036 S MILLER LN
CATOOSA, OK 74015-1520
Phone number: 918-739-4552
Mailing Address
JENNIFER DANIELLE GOUGE
1001 E 18TH ST
GROVE, OK 74344-2907
Phone number: 918-786-2243
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