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Individual

THERESA J ADAMS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AU.D.

Contact information

Practice address
1745 N WASHINGTON, WEATHERFORD, OK 73096
(580) 774-2333
(580) 774-2373
Mailing address
PO BOX 1617, WEATHERFORD, OK 73096-1617
(580) 774-2333
(580) 774-2373

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
264
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100646670A
OK
Enumeration date
10/27/2006
Last updated
04/03/2012
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