Gold Bison Enterprises, P.c.
NPI #1366740805 in Bartlesville, Oklahoma
Provider Information
- NPI Number
- 1366740805
- Entity Type
- Organization
- Organization Name
- Gold Bison Enterprises, P.c.
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- Mar 8, 2011
- Last Updated
- Mar 8, 2011
Practice Location
- Address
- 6105 SE NOWATA ROAD
- Address 2
- SUITE 107
- City
- Bartlesville
- State
- Oklahoma
- ZIP Code
- 74006-0000
- Phone
- (918) 766-1151
Authorized Official
- Name
- KIMBERLY R. MASHUNKASHEY, M.A., CCC-SLP
- Title
- PRESIDENT
- Phone
- (918) 766-1151
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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