MRS. Katrina Marie Grady

NPI #1891982872 in Mangum, Oklahoma

Provider Information

NPI Number: 1891982872
Entity Type: Individual
Name: MRS. Katrina Marie Grady
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Enumeration Date: Oct 3, 2007
Last Updated: Oct 3, 2007

Practice Location

Address: 2 WICKERSHAM ST
City: Mangum
State: Oklahoma
ZIP Code: 73554-9117
Phone: (580) 782-3337

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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