Individual
MARYKAY ELIZABETH PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
27 E ROSS AVE, SAPULPA, OK 74066-6423
(539) 265-8264
Mailing address
27 E ROSS AVE, SAPULPA, OK 74066-6423
(539) 265-8264
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
—
OK
Other
Enumeration date
02/07/2026
Last updated
02/07/2026
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