Individual
MRS. CHRISTIN CHEYENNE CARLILE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1212 E KIRK ST, HUGO, OK 74743-3607
(580) 743-6711
Mailing address
2550 E 2010 RD, HUGO, OK 74743-1057
(805) 588-9776
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/29/2020
Last updated
05/29/2020
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