Individual
PAMELA J DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1803 S WOOD DR, OKMULGEE, OK 74447-6825
(918) 420-5343
Mailing address
PO BOX 724, CLAYTON, OK 74536-0724
(918) 302-8987
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
03/02/2012
Last updated
03/02/2012
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