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Individual

MRS. MABLE DANIELLE CRANE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1701 COUNTRY CLUB DR, OKMULGEE, OK 74447-7101
(918) 939-8000
Mailing address
1701 COUNTRY CLUB DR, OKMULGEE, OK 74447-7101
(918) 939-8000

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
02/27/2012
Last updated
02/27/2012
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