Individual
MS. KAYLEE ELAINE GRAGG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
901 W 18TH ST, ADA, OK 74820-7423
(580) 436-6130
Mailing address
13880 COUNTY ROAD 1565, ADA, OK 74820-1615
(580) 320-7802
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
02/03/2025
Last updated
02/03/2025
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