Individual
TAMARA LEE CRAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2111 W DEVRON ST, SALLISAW, OK 74955-9008
(918) 315-7849
Mailing address
2111 W DEVRON ST, SALLISAW, OK 74955-9008
(918) 315-7849
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
04/14/2025
Last updated
04/14/2025
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