Individual
MRS. PORTIA LYNN BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1950 N OKMULGEE, OKMULGEE, OK 74447-6534
(918) 756-7700
(918) 756-3347
Mailing address
1950 N OKMULGEE, OKMULGEE, OK 74447-6534
(918) 756-7700
(918) 756-3347
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
03/30/2010
Last updated
03/30/2010
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