Individual
CHRYSTAL JEAN MONIGOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1602 SW 82ND ST, LAWTON, OK 73505-9012
(580) 510-0077
(580) 510-2751
Mailing address
1602 SW 82ND ST, LAWTON, OK 73505-9012
(580) 510-0077
(580) 510-2751
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
76015
OK
Other
Enumeration date
07/13/2009
Last updated
03/09/2010
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