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Individual

KRISTI MICHELLE COOLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2305 SW H AVE, LAWTON, OK 73505-8103
(580) 669-8551
(580) 699-8553
Mailing address
1906 KNOX RD, APT 108, ARDMORE, OK 73401-1069
(580) 277-9900

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
OK

Other

Enumeration date
05/14/2015
Last updated
05/14/2015
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