Individual
THERESA LYNN MCCARTNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
201 E ADAMS ST, CRESCENT, OK 73028-9155
(405) 260-0212
(405) 260-0676
Mailing address
201 E ADAMS ST, CRESCENT, OK 73028-9155
(405) 260-0212
(405) 260-0676
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
12/16/2011
Last updated
12/16/2011
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