GWEN E LEAKE, Holistic SAPULPA, OK

Contact Information

GWEN E LEAKE

425 N BROWN ST
SAPULPA, OK 74066-3260

Phone: 918-367-8316
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Holistic	364SH1100X	89	Certified Clinical Nurse Specialist

Indicates primary specialty

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NPI Profile & details for GWEN E LEAKE · (Female)

NPI Number	`1407689862`
Status	Active
Credentials
Entity	Individual
Enumeration date	08/21/2024
Last updated	08/21/2024 - More than a year ago
Sole proprietor ¹	No
Identifiers	OK License # NA
Hospital affiliation(s)	Not Available

¹ A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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GWEN E LEAKEHolistic

Contact Information

Specialty

Holistic

NPI Profile & details for GWEN E LEAKE · (Female)

Reviews for GWEN E LEAKE

GWEN E LEAKE
Holistic