Individual
ANA C LABIOSA COLON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1012 DOLLAR ST, ALTUS, OK 73521-6931
(178) 720-1317
Mailing address
1012 DOLLAR ST, ALTUS, OK 73521-6931
(178) 720-1317
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
035
PR
Other
Enumeration date
01/30/2020
Last updated
01/30/2020
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