Eddie Duane Gaut

NPI #1205328697 in Owasso, Oklahoma

Provider Information

NPI Number
1205328697
Entity Type
Individual
Name
Eddie Duane Gaut
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Case Manager/Care Coordinator
Enumeration Date
Jun 1, 2018
Last Updated
Jun 1, 2018

Practice Location

Address
110 W 3RD ST.
Address 2
APT 11
City
Owasso
ZIP Code
74055
Phone
(918) 576-8005

Specialties & Taxonomy Codes

Specialty
Case Manager/Care Coordinator

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