Individual
SPENCER HOLMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
904 DALLAS ST., TALIHINA, OK 74571
(918) 942-1033
Mailing address
904 DALLAS ST., TALIHINA, OK 74571
(918) 942-1033
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
09/08/2023
Last updated
09/08/2023
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