Individual
CHERYL GRISIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1025 SE GREYSTONE AVE, BARTLESVILLE, OK 74006-5010
(620) 212-5270
Mailing address
1025 SE GREYSTONE AVE, BARTLESVILLE, OK 74006-5010
(620) 212-5270
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
TA2456
OK
Other
Enumeration date
12/23/2015
Last updated
12/23/2015
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