Individual
REBECCA ANN STARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
124 S BROADWAY AVE, STE 408, ADA, OK 74820-5807
(580) 332-8773
(580) 332-8774
Mailing address
PO BOX 230, 214 E OAK, SEMINOLE, OK 74818-0230
(405) 382-1112
(405) 382-5747
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
04/07/2010
Last updated
04/07/2010
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