Individual
MELISSA ANN GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13001 NORTH, US-69, ATOKA, OK 74525
(580) 334-6737
Mailing address
100 S JEROME ST, COALGATE, OK 74538-1226
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
204183
OK
Other
Enumeration date
09/20/2021
Last updated
10/19/2021
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