Individual
KATELYNN CHRISTINE RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
127 N 3RD AVE, DURANT, OK 74701-4700
(580) 931-3008
(580) 931-2008
Mailing address
127 N 3RD AVE, DURANT, OK 74701-4700
(580) 931-3008
(580) 931-2008
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
OK
Other
Enumeration date
08/19/2015
Last updated
08/20/2015
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