Individual
KIMBERLIN S CRASE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
30062 CHEROKEE ST, BOKOSHE, OK 74930-2550
(479) 806-0896
Mailing address
30062 CHEROKEE ST, BOKOSHE, OK 74930-2550
(479) 806-0896
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
07/27/2018
Last updated
07/27/2018
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