Individual
DEBRA COLSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MED
Contact information
Practice address
120 S MADISON AVE STE 24, ELK CITY, OK 73644-5741
(580) 214-0087
(580) 225-1130
Mailing address
120 S MADISON AVE STE 24, ELK CITY, OK 73644-5741
(580) 214-0087
(580) 225-1130
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
04/21/2010
Last updated
04/21/2010
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