Individual
ANJANETTE JAYE COUFFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
124 E 6TH ST, PAWHUSKA, OK 74056-4204
(918) 331-6549
Mailing address
124 E 6TH ST, PAWHUSKA, OK 74056-4204
(918) 331-6549
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
05/17/2022
Last updated
05/17/2022
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