Individual
MRS. MILLISSA KAE ROBINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
711 S MUSKOGEE AVE, TAHLEQUAH, OK 74464-4717
(918) 871-1640
Mailing address
200 MONROE ST APT 26, TAHLEQUAH, OK 74464-5684
(918) 871-1640
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
10/05/2020
Last updated
10/05/2020
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