Provider Demographics
NPI:1245732817
Name:MARSHALL-GILL, DEBORRAH Y
Entity type:Individual
Prefix:MS
First Name:DEBORRAH
Middle Name:Y
Last Name:MARSHALL-GILL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1821 TERRYTON DR
Mailing Address - Street 2:
Mailing Address - City:NORMAN
Mailing Address - State:OK
Mailing Address - Zip Code:73071-1027
Mailing Address - Country:US
Mailing Address - Phone:405-321-4580
Mailing Address - Fax:405-364-1433
Practice Address - Street 1:210 S COCKREL AVE
Practice Address - Street 2:
Practice Address - City:NORMAN
Practice Address - State:OK
Practice Address - Zip Code:73071-5610
Practice Address - Country:US
Practice Address - Phone:405-364-1420
Practice Address - Fax:405-364-1433
Is Sole Proprietor?:Yes
Enumeration Date:2018-02-28
Last Update Date:2018-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator