Individual
KARRI LEE TEAFATILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
111 S MAIN ST, MCALESTER, OK 74501-5363
(918) 423-5205
(918) 423-5255
Mailing address
PO BOX 404, HAILEYVILLE, OK 74546-0404
(918) 470-4505
(918) 423-5255
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
320310303
—
OK
Enumeration date
03/23/2012
Last updated
03/23/2012
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