Individual
ASHLEY CANTU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
201 W MADISON ST, MANGUM, OK 73554-1811
(580) 780-3371
Mailing address
PO BOX 535, MANGUM, OK 73554
(580) 782-2704
(580) 782-2313
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
100687160A
OK
Other
Enumeration date
09/03/2015
Last updated
09/03/2015
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