Individual
MRS. KENDYLL JO MCNEILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3114 W OKLAHOMA AVE, ENID, OK 73703-5033
(580) 747-7192
Mailing address
3114 W OKLAHOMA AVE, ENID, OK 73703-5033
(580) 747-7192
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
12/29/2009
Last updated
12/29/2009
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