Individual
MRS. ANITA KAYE STALLINGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1018 E 2ND ST, OKMULGEE, OK 74447
(918) 752-8109
Mailing address
1211 E KENNEDY ST., OKMULGEE, OK 74447
(918) 752-9670
(918) 752-0490
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/29/2013
Last updated
08/29/2013
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