Mrs. Mallery Gray Gannaway, AA
Mrs. Mallery Gray Gannaway, AA is a Student in an Organized Health Care Education/Training Program in Oklahoma City, Oklahoma. Practices as a sole proprietor. Licensed in Oklahoma.
- Licensed in
- OK
- In the registry since
- 2018
- Specialties on file
- 2
Practice location Address checks out
12301 N Macarthur Blvd Apt 304Oklahoma City, OK 73142-3039
Phone: (405) 406-7112
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Specialties & licences
| Athletic Trainer (primary) | Taxonomy 2255A2300X (OK) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X · Licence 737 (OK) |
Record details
| NPI number | 1306353685 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | AA |
| Sole proprietor | Yes |
| NPI enumerated | January 8, 2018 |
| Last updated in NPPES | January 8, 2018 |
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