Individual
KELSEY LAYNE RAGLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
204 S MULDROW ST, TISHOMINGO, OK 73460-2716
(580) 257-0420
Mailing address
1814 W OWEN K GARRIOTT RD, ENID, OK 73703-5525
(580) 823-8017
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/08/2021
Last updated
06/08/2021
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