Individual
RAINA BREANN MASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
114 N GRAND AVE STE 306, OKMULGEE, OK 74447-4031
(918) 756-2218
(918) 756-3715
Mailing address
1551 N OKMULGEE AVE APT 408, OKMULGEE, OK 74447-2287
(918) 850-7236
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/23/2007
Last updated
07/08/2007
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