Sierra Lorene Gaines

NPI #1689170060 in Ardmore, Oklahoma

Provider Information

NPI Number: 1689170060
Entity Type: Individual
Name: Sierra Lorene Gaines
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist/Technologist
Enumeration Date: Apr 4, 2018
Last Updated: Apr 4, 2018

Practice Location

Address: 1219 K ST NW
City: Ardmore
State: Oklahoma
ZIP Code: 73401-1801
Phone: (580) 798-4523

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist/Technologist	225500000X	Primary

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