Individual
KIMBERLY DAWN GRATE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6909 NW 60TTH STREET, BETHANY, OK 73008-1917
(405) 628-5982
Mailing address
6909 NW 60TH ST, BETHANY, OK 73008-1917
(405) 628-5982
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
11/19/2011
Last updated
01/28/2015
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