Individual
MRS. CARRIE IRENE CROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
220 S ELM ST, JENKS, OK 74037-3701
(918) 403-7144
(918) 856-5561
Mailing address
220 S ELM ST, JENKS, OK 74037-3701
(918) 403-7144
(918) 856-5561
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2622
OK
Other
Enumeration date
09/18/2015
Last updated
10/09/2024
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