Individual
MRS. AMY ELIZABETH SELSOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
4400 N LINCOLN BLVD, OKLAHOMA CITY, OK 73105-5104
(405) 424-7711
Mailing address
810 W DOWDEN DR, MUSTANG, OK 73064-3568
(405) 376-5896
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
R0072451
OK
Other
Enumeration date
03/21/2007
Last updated
07/08/2007
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