Individual
MRS. STACY LYNN CLAXTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMM
Contact information
Practice address
1106 E STATE HIGHWAY 152 UNIT 1, MUSTANG, OK 73064-5134
(405) 256-6021
Mailing address
601 COLBERT ST, TUTTLE, OK 73089-1019
(405) 203-3103
Taxonomy
Speciality
Code
Description
License number
State
225500000X
Respiratory/Developmental/Rehabilitative Specialist/Technologist
Primary
1795
OK
Other
Enumeration date
02/07/2024
Last updated
02/07/2024
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