Individual
CATHY EVANS GRIFFIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
311 DOUGLAS ST, MUSKOGEE, OK 74401-4114
(918) 304-0840
(918) 752-0547
Mailing address
PO BOX 3546, MUSKOGEE, OK 74402-3546
(918) 304-0840
(918) 752-0547
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000000000
—
OK
Enumeration date
07/24/2013
Last updated
07/24/2013
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