Individual
VICKIE LYNN WATSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
RR 1 BOX 64A, 14457 N 3650, SASAKWA, OK 74867-9714
(405) 941-3826
(405) 941-3826
Mailing address
RR 1 BOX 64A, 14457 N 3650, SASAKWA, OK 74867-9714
(405) 941-3826
(405) 941-3826
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
09/14/2006
Last updated
07/09/2007
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