Individual
MRS. FAYE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6901 SE 162ND ST, OKLAHOMA CITY, OK 73165-6849
(405) 210-7119
Mailing address
6901 SE 162ND ST, OKLAHOMA CITY, OK 73165-6849
(405) 210-7119
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
M000622408
OK
Other
Enumeration date
04/03/2017
Last updated
04/03/2017
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