Individual
MS. MICKIE JO WILLIAMSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1101 E MONROE AVE, MCALESTER, OK 74501-4815
(918) 426-7800
Mailing address
96 HEATHERWOOD WAY, MCALESTER, OK 74501-7649
(918) 429-2395
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
05/04/2018
Last updated
05/04/2018
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