Krista R. Robertson

NPI 1134342074 - Case Manager/Care Coordinator - 171M00000X

NPI Details
NPI 1134342074
Gender Female
Enumeration Date 04/10/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
205 E CHESTNUT AVE
PONCA CITY OK, 74601-4311, US
Phone (580) 762-9109
Fax (580) 763-0929
Business Location
516 GLENDALE AVE
PONCA CITY OK, 74601-3209, US
Phone (580) 762-4421
Fax
Toxanomy
Taxonomy Code 171M00000X
License State
License Number NONE
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According to our database, Mrs. Krista R. Robertson NPI is 1134342074, taxonomy code is 171M00000X and license number is NONE, license state is located at . Krista R. Robertson physically located at 205 E Chestnut Ave, Ponca City OK, 74601-4311. NPI Number Krista R. Robertson has the Individual type.

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1134342074 NPI number is provided on an as is basis without warranty of any kind. 1134342074 is maintained by the National Plan & Provider Enumeration System. The contents of Krista R. Robertson are for informational purposes only.