Individual
AMY ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
601 E JACKSON ST, HUGO, OK 74743-4024
(580) 326-7531
Mailing address
601 E JACKSON ST, HUGO, OK 74743-4024
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0101011
OK
Other
Enumeration date
10/29/2014
Last updated
10/29/2014
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