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Individual

JOSHUA CALEB LORAH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
123 W COMMERCE ST FL 5, ALTUS, OK 73521-3850
(580) 482-2809
(580) 482-2820
Mailing address
1501 S PARK LN APT 704, ALTUS, OK 73521-6967
(580) 954-2179
(580) 482-2820

Taxonomy

Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary

Other

Enumeration date
05/31/2017
Last updated
05/31/2017
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