CASEY J WOOLSEY

HUGO, OK
NPI1023472446
Former NameCASEY J WALLACE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner Family
(Licence: OK  85721)
Enumeration Date2016-04-12
Last Update Date2016-12-19
Business Address
CASEY J WOOLSEY CNP
206 N 16TH ST
HUGO, OK 74743-4205
Phone number: 580-920-2122
Mailing Address
CASEY J WOOLSEY CNP
PO BOX 579
DURANT, OK 74702-0579
Phone number: 580-920-2122