Individual
JOY BETH ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
309 E COURT ST, ATOKA, OK 74525-2047
(580) 371-3776
Mailing address
RR 4 BOX 2080, COALGATE, OK 74538-9678
(580) 927-3014
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
03/01/2012
Last updated
03/01/2012
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