Individual
STEPHANIE HAMPTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
107 S HIGH ST, ANTLERS, OK 74523-3818
(580) 298-2830
Mailing address
107 S HIGH ST, ANTLERS, OK 74523-3818
(580) 298-2830
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
G082839712
—
OK
Enumeration date
06/20/2018
Last updated
06/20/2018
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