Individual
MARILYN LORRAINE GRIFFIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14177 HWY 62, TAHLEQUAH, OK 74464
(918) 289-7460
Mailing address
PO BOX 416, TAHLEQUAH, OK 74465-0416
(918) 289-7460
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
1770357071
OK
Other
Enumeration date
11/08/2023
Last updated
12/12/2023
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