Individual
MS. YIMARA K BOKSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BHRS
Contact information
Practice address
1705 GEETA RD, EDMOND, OK 73003-3707
(405) 219-4338
Mailing address
PO BOX 60082, OKLAHOMA CITY, OK 73146-0082
(405) 219-4338
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
BHRS CERTIFICATE
OK
Other
Enumeration date
12/20/2011
Last updated
12/20/2011
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