Individual
MRS. JANIE LEANN MATNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15155 ENGLISH RD, MOUNDS, OK 74047-3937
(918) 855-0697
Mailing address
PO BOX 1164, KELLYVILLE, OK 74039-1164
(918) 855-0697
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
10/02/2013
Last updated
10/02/2013
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