MRS. Loraine Grace Sisto-Watson

NPI #1205310661 in Muskogee, Oklahoma

Provider Information

NPI Number: 1205310661
Entity Type: Individual
Name: MRS. Loraine Grace Sisto-Watson
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Case Manager/Care Coordinator
Enumeration Date: Sep 21, 2018
Last Updated: Sep 21, 2018

Practice Location

Address: 2019 E OKMULGEE AVE
City: Muskogee
State: Oklahoma
ZIP Code: 74403-5841
Phone: (405) 838-0999

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Manager/Care Coordinator	171M00000X	Primary

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