Individual
KATRINA IDELL CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
555 W CEDAR ST, ATOKA, OK 74525-3205
(580) 485-2914
Mailing address
555 W CEDAR ST, ATOKA, OK 74525-3205
(580) 485-2914
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
12/04/2024
Last updated
12/04/2024
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