Individual
MRS. CHERRYL KATHLINE BUNCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
716 S 2ND ST STE 101, STILWELL, OK 74960-4806
(918) 696-6212
Mailing address
RR 6 BOX 1085, STILWELL, OK 74960-8708
(918) 797-2280
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/30/2011
Last updated
03/30/2011
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