Individual
MARY FRAZIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NREMT
Contact information
Practice address
33038 LONG BAY RD, WAGONER, OK 74467-3682
(918) 485-9500
Mailing address
504 JUDY LN # A, TAHLEQUAH, OK 74464-4214
(918) 954-7642
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
58341
OK
Other
Enumeration date
09/12/2024
Last updated
09/12/2024
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