Individual
MRS. MARY JO TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SPECIALIZED FOSTER
Contact information
Practice address
ROUTE #1, SPARKS, OK 74869-9701
(918) 866-2532
Mailing address
ROUTE #1 BOX #17, SPARKS, OK 74869-9701
(918) 866-2532
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
OK
Other
Enumeration date
08/09/2007
Last updated
08/09/2007
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