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Individual

MRS. KIRSTEN STRINGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LOT

Contact information

Practice address
620 N ALLEGHANEY AVE, ODESSA, TX 79761-4408
(432) 332-8244
(432) 580-7428
Mailing address
2125 REDBUD AVE, ODESSA, TX 79761-1613
(432) 272-1977

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
109664
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
109664
STATE LICENSE NUMBER
TX
01
132187
SUPERIOR PROVIDER NUMBER
TX
01
8T4843
BCBS PROVIDER NUMBER
TX
Enumeration date
03/13/2007
Last updated
07/08/2007
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