Individual
KRYSTIN CHERIE JAMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
RR 1 BOX 1565, STILWELL, OK 74960-9752
(918) 575-4649
Mailing address
RR 1 BOX 1565, STILWELL, OK 74960-9752
(918) 575-4649
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
01/04/2012
Last updated
01/04/2012
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