Individual
MRS. KELLE DEON CYBULSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
917 RANCH RD N, ALTUS, OK 73521-1026
(580) 235-9259
Mailing address
917 RANCH RD N, ALTUS, OK 73521-1026
(580) 235-9259
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/29/2011
Last updated
11/29/2011
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