Organization
CHANDLER OUTREACH CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTIN L SELLS (OWNER)
(405) 258-5252
Entity
Organization
Contact information
Practice address
1116 MANVEL AVE, CHANDLER, OK 74834-3856
(405) 258-5252
Mailing address
1116 MANVEL AVE, CHANDLER, OK 74834-3856
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
06/19/2025
Last updated
06/19/2025
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