WILLETTA RUTH GRAYSON, SERVICE PROVIDER
Medical Practice in Boss, OK

License number
Oklahoma 0810
Category
Medical Practice
Type
Community Health Worker
Address
Address
1 Box 686, Boss, OK 74745
Phone
(580) 286-5102
(580) 286-5929 (Fax)
National Provider ID: 1619106853
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Willetta Ruth Grayson Service Provider

Boss, OK

Status:
Inactive
Industry:
Services-Misc
Addresses:
503 S Central Ave, Boss, OK 74745
Rr 1 BOX 686, Boss, OK 74745
Service Provider:
Willetta R. Grayson (Service Provider)

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