Mystery Gayle Bear

NPI #1265072573 in Miami, Oklahoma

Provider Information

NPI Number: 1265072573
Entity Type: Individual
Name: Mystery Gayle Bear
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Peer Specialist
Enumeration Date: Jan 14, 2020
Last Updated: Mar 2, 2020

Practice Location

Address: 111 S TREATY RD
City: Miami
State: Oklahoma
ZIP Code: 74354-5327
Phone: (918) 540-1511

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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