Individual
MRS. CHARITY TYLER CRASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
401 N CHURCH ST, POTEAU, OK 74953-3502
(918) 649-0230
(918) 649-1492
Mailing address
PO BOX 1030, ANTLERS, OK 74523-1030
(580) 298-2830
(580) 298-6723
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/30/2016
Last updated
06/14/2021
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