Individual
BILLI CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
220 N LAKE ST, PONCA CITY, OK 74601-4041
(580) 761-6227
Mailing address
220 N LAKE ST, PONCA CITY, OK 74601-4041
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/09/2018
Last updated
05/09/2018
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