Individual
DEBBIE K BENJAMIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
922 N 4240 RD, HUGO, OK 74743-6903
(580) 326-2535
(580) 326-2535
Mailing address
922 N 4240 RD, HUGO, OK 74743-6903
(580) 326-2535
(580) 326-2535
Taxonomy
Speciality
Code
Description
License number
State
177F00000X
Lodging Provider
Primary
177F00000X
OK
Other
Enumeration date
11/15/2006
Last updated
07/08/2007
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