Mr. Larry Douglas Gerken
Mr. Larry Douglas Gerken is a Peer Specialist in Sapulpa, Oklahoma. Practices as a sole proprietor. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
1316 E Jackson Ave NSapulpa, OK 74066-3752
Phone: (918) 724-1963
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Specialties & licences
| Peer Specialist (primary) | Taxonomy 175T00000X |
|---|
Record details
| NPI number | 1295564847 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | July 31, 2024 |
| Last updated in NPPES | July 31, 2024 |
| Certification date | July 31, 2024 |
| Mailing address | 1316 E Jackson Ave N, Sapulpa, OK 74066-3752 |
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