Individual
MRS. CAROL CRYSTANN WINGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1884 W CHAMBERS RD, MCALESTER, OK 74501-2299
(918) 429-5674
(918) 420-5087
Mailing address
1884 W CHAMBERS RD, MCALESTER, OK 74501-2299
(918) 429-5674
(918) 420-5087
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/01/2013
Last updated
11/12/2013
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