Individual
MISS REBECCA SUEAMI CRAWFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1625 W OWEN K GARRIOTT RD, ENID, OK 73703-5653
(580) 242-4673
Mailing address
823 W WABASH AVE, ENID, OK 73701-7235
(580) 402-4569
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
01/17/2014
Last updated
01/17/2014
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