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Individual

MRS. CRYSTAL OWENS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
B.A.

Contact information

Practice address
17 E CARL ALBERT PKWY, MCALESTER, OK 74501-5037
(918) 426-3334
(918) 426-3336
Mailing address
17 E CARL ALBERT PKWY, MCALESTER, OK 74501-5037
(918) 426-3334
(918) 426-3336

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
100709660
SC PROVIDER NUMBER
OK
01
1689761827
OK HEALTH CARE AUTHORITY PROVIDER NUMBER
OK
Enumeration date
03/11/2014
Last updated
03/11/2014
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