SAMANTHA NELSON

WILBURTON, OK
NPI1013393438
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)
Enumeration Date2015-08-07
Last Update Date2015-08-07
Business Address
-- SAMANTHA NELSON
103 1/2 W MAIN ST
WILBURTON, OK 74578-4043
Phone number: 918-465-7890
Mailing Address
-- SAMANTHA NELSON
103 1/2 W MAIN ST
WILBURTON, OK 74578-4043
Phone number: 918-465-7890
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