Teresa Janette Runyon

NPI #1841548773 in Tishomingo, Oklahoma

Provider Information

NPI Number: 1841548773
Entity Type: Individual
Name: Teresa Janette Runyon
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Case Management
Enumeration Date: Aug 27, 2012
Last Updated: Oct 22, 2012

Practice Location

Address: 801 E MAIN ST
City: Tishomingo
State: Oklahoma
ZIP Code: 73460-2351
Phone: (918) 967-8692

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Management	251B00000X	Primary

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