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Individual

CHERI LYNN WHITE OWL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CRSS

Contact information

Practice address
6320 N HIGHWAY 74C, GUTHRIE, OK 73044-3260
(405) 315-2928
Mailing address
6320 N HIGHWAY 74C, GUTHRIE, OK 73044-3260
(405) 315-2928

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
07161011
OK

Other

Enumeration date
10/31/2011
Last updated
10/31/2011
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