Individual
MRS. KRISTA R. ROBERTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
205 E CHESTNUT AVE, PONCA CITY, OK 74601-4311
(580) 762-9109
(580) 763-0929
Mailing address
516 GLENDALE AVE, PONCA CITY, OK 74601-3209
(580) 762-4421
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
NONE
—
Other
Enumeration date
04/10/2007
Last updated
07/08/2007
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