Individual
LUCKY SUE GRIFFIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
620 E COURT ST, ATOKA, OK 74525-3016
(580) 399-8047
Mailing address
630 E COURT ST, ATOKA, OK 74525-3016
(580) 399-8047
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
172V00000X
OK
Other
Enumeration date
06/20/2013
Last updated
06/20/2013
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