Individual
TINA SIMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17 S CENTRAL AVE, IDABEL, OK 74745-4625
(580) 286-5184
(580) 286-5185
Mailing address
17 S CENTRAL AVE, IDABEL, OK 74745-4625
(580) 286-5184
(580) 286-5185
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
07/11/2012
Last updated
07/11/2012
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