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Individual

MRS. AMY GRAVES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
16600 NAIL CREEK RD, POTEAU, OK 74953-7500
(918) 413-0245
Mailing address
16600 NAIL CREEK RD, POTEAU, OK 74953-7500
(918) 413-0245

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
12296
OK

Other

Enumeration date
06/06/2014
Last updated
09/11/2025
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