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1194018580
CHRYSTI ALAINE HARTSELL
TISHOMINGO, OK
NPI
1194018580
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
172V00000X Community Health Worker
(Licence: OK 37T010041107)
Enumeration Date
2011-05-18
Last Update Date
2011-05-18
Business Address
-- CHRYSTI ALAINE HARTSELL
308 E 22ND ST
TISHOMINGO, OK 73460-3106
Phone number: 580-371-7344
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Mailing Address
-- CHRYSTI ALAINE HARTSELL
308 E 22ND ST
TISHOMINGO, OK 73460-3106
Phone number: 580-371-7344
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