Individual
CRYSTAL JAYROE RAYMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11212 N MAY AVE STE 208, OKLAHOMA CITY, OK 73120-6335
(405) 708-6331
Mailing address
11212 N MAY AVE STE 208, OKLAHOMA CITY, OK 73120-6335
(405) 708-6331
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
171W00000X
Contractor
—
—
Other
Enumeration date
07/27/2012
Last updated
07/27/2012
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