Individual
PAYTON COLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
23551 W 105TH ST S, SAPULPA, OK 74066-1536
(559) 859-8640
Mailing address
23551 W 105TH ST S, SAPULPA, OK 74066-1536
(559) 859-8640
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
10/13/2021
Last updated
10/13/2021
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