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Individual

MARANDA LEE EATON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CFM

Contact information

Practice address
1904 SE WASHINGTON BLVD, BARTLESVILLE, OK 74006
(918) 333-6900
(918) 335-6687
Mailing address
1904 SE WASHINGTON BLVD, BARTLESVILLE, OK 74006-6736
(918) 333-6900
(918) 335-6687

Taxonomy

Speciality
Code
Description
License number
State
224900000X
Mastectomy Fitter
Primary
CFM02743

Other

Enumeration date
06/06/2017
Last updated
07/21/2022
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