Individual
GEORGINA SIMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
123 WHITE EAGLE DR, PONCA CITY, OK 74601-8307
(580) 304-5811
Mailing address
123 WHITE EAGLE DR, PONCA CITY, OK 74601-8307
(580) 304-5811
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/02/2024
Last updated
07/31/2024
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