Individual
MALISSA CALHOON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1004 SE 1ST ST, PRYOR, OK 74361-4801
(918) 530-8144
Mailing address
1004 SE 1ST ST, PRYOR, OK 74361-4801
(918) 530-8144
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
282N00000X
OK
Other
Enumeration date
07/28/2016
Last updated
07/28/2016
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