Individual
JERICHO GARR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
621 S 4TH ST, STILWELL, OK 74960-4215
(918) 696-2181
Mailing address
1719 HIGHWAY 82 N, SALINA, OK 74365-2531
(918) 232-1210
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/09/2024
Last updated
12/09/2024
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