Individual
MRS. ALISSA JADE LYNN FEB-WINTERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
B.S.
Contact information
Practice address
618 BRYAN DR, DURANT, OK 74701-3462
(580) 920-0909
Mailing address
52 BLISS WAY, MEAD, OK 73449-7700
(580) 513-1731
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/14/2023
Last updated
08/14/2023
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