Individual
MRS. ALEXIS DAWN GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
24135 E 1050 RD, WEATHERFORD, OK 73096-3106
(580) 302-4861
Mailing address
24135 E 1050 RD, WEATHERFORD, OK 73096-3106
(580) 302-4861
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
OK
Other
Enumeration date
06/28/2022
Last updated
06/28/2022
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