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Individual

JOYCE L RISMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
35164 S 4465 RD, VINITA, OK 74301-6782
(918) 782-1414
Mailing address
PO BOX 210, KETCHUM, OK 74349-0210
(918) 782-2154

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
09/23/2013
Last updated
09/23/2013
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