Individual
TERESA TRUELOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
606 CIRCLE TOP DR., SULPHUR, OK 73086
(580) 993-0183
Mailing address
25 FIVE LKS, SULPHUR, OK 73086-9707
(580) 622-6810
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
04/09/2007
Last updated
07/09/2007
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