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Willetta Grayson, SERVICE PROVIDER
NPI 1619106853 · on the registry since 2009 · sole proprietor
Practice
- Address
- Rr 1 Box 686
Idabel, OK 74745 - Phone
- (580) 286-5102
- Fax
- (580) 286-5929
Registry record
- Primary taxonomy
- Community Health Worker
172V00000X
- Licence states on file
- OK
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2009-07-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma