Individual
CRYSTAL SEYMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7010 S YALE AVE STE 215, TULSA, OK 74136-5743
(918) 492-2554
Mailing address
7010 S YALE AVE STE 215, TULSA, OK 74136-5743
(918) 492-2554
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1952972465
—
OK
Enumeration date
12/01/2021
Last updated
12/01/2021
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