Individual
KRISTINA NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
158 E SUNSET DR, SUITE E, MEDFORD, OK 73759-2401
(580) 491-0472
Mailing address
11989 W INDIAN RD, BRAMAN, OK 74632-9108
(580) 491-0472
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/23/2012
Last updated
03/23/2012
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