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1700488871
KOURTNEY LYNN GOSS
JENKS, OK
NPI
1700488871
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: OK 200137)
Enumeration Date
2020-11-12
Last Update Date
2020-11-12
Business Address
KOURTNEY LYNN GOSS
11804 S LOCUST AVE
JENKS, OK 74037-4298
Phone number: 817-243-9929
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Mailing Address
KOURTNEY LYNN GOSS
PO BOX 218
JENKS, OK 74037-0218
Phone number: 817-243-9929
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