Individual
CHRISTY JO BUCKMASTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10778 N 1990 RD, ELK CITY, OK 73644-9364
(580) 243-9803
Mailing address
10778 N 1990 RD, ELK CITY, OK 73644-9364
(580) 243-9803
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5764
OK
Other
Enumeration date
05/18/2022
Last updated
05/18/2022
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