Individual
MS. MICHELLE TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
499 W BOUNDRY, KANSAS, OK 74347-1662
(918) 868-2567
(918) 868-5584
Mailing address
499 W BOUNDRY, PO BOX 196, KANSAS, OK 74347-1662
(918) 868-2567
(918) 868-5584
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
OK
Other
Enumeration date
09/14/2015
Last updated
09/14/2015
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