Mysteri Kosmicki

NPI #1962214437 in Ardmore, Oklahoma

Provider Information

NPI Number: 1962214437
Entity Type: Individual
Name: Mysteri Kosmicki
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Peer Specialist
Enumeration Date: Jan 22, 2025
Last Updated: Jan 22, 2025

Practice Location

Address: 2007 N COMMERCE ST
City: Ardmore
State: Oklahoma
ZIP Code: 73401-1268
Phone: (580) 223-5636

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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