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Search › Oklahoma › 104100000X

Caressa Russell

NPI 1649898529 · on the registry since 2020

Practice

Address
111 S Treaty Rd
Miami, OK 74354
Phone
(918) 540-1511
Fax
(918) 542-7374
Organisation at this address
Glmhc Pharmacy Llc
Grand Lake Mental Health
Grand Lake Mental Health Center Inc
Grand Lake Mental Health Center, Inc.
Grand Lake Mental Health Center, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
171

Registry record

Primary taxonomy
104100000X
104100000X
Licence states on file
OK
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-08-23

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