Individual
KEEDRA SHUNON JUSTUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FSP
Contact information
Practice address
604 S WALNUT ST, STILLWATER, OK 74074-4222
(405) 372-2202
(405) 445-3780
Mailing address
604 S WALNUT ST, STILLWATER, OK 74074-4222
(405) 372-2202
(405) 445-3780
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/09/2019
Last updated
09/09/2019
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