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1710532155
CRYSTAL MATLOCK
MUSKOGEE, OK
NPI
1710532155
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
251B00000X Case Management
Enumeration Date
2019-08-02
Last Update Date
2024-06-03
Business Address
CRYSTAL MATLOCK BS
619 N MAIN ST
MUSKOGEE, OK 74401-4431
Phone number: 918-682-8407
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Mailing Address
CRYSTAL MATLOCK BS
1206 SE 1ST ST
WAGONER, OK 74467-5426
Phone number: 918-207-6570
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