Most Relevant Information
Provider Data
| NPI Number: | 1003263682 |
| Provider Name: | MARY LYN GUINN |
| Entity Type: | Individual |
| Taxonomy Code: | 247200000X |
| Specialty: | Technician, Other |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/24/2016 |
| Last Updated: | 05/24/2016 |
Provider Practice Location
500 W CHINCAPIN
WESTVILLE
OK
74965
Practice Location Phone/Fax
| Phone: | 9187233181 |
| Fax: |
Provider Mailing Location
PO. 410
WESTVILLE
OK
74965
Provider Mailing Phone/Fax
| Phone: | 9187233181 |
| Fax: |