Individual
BUFFIE JO SELLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
716 S 2ND ST # 1014, STILWELL, OK 74960-4806
(918) 696-6212
Mailing address
101908 US HWY 59, SALLISAW, OK, OK 74955
(918) 385-1755
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
04/19/2022
Last updated
04/19/2022
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