Individual
BETTY F SHOWLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MAC
Contact information
Practice address
22253 S 4370 RD, VINITA, OK 74301-5417
(918) 244-6416
Mailing address
22253 S 4370 RD, VINITA, OK 74301-5417
(918) 244-6416
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
304
OK
Other
Enumeration date
10/12/2009
Last updated
10/12/2009
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