Individual
MS. AMANDA DOOLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.PED
Contact information
Practice address
101 S MOORE AVE, CLAREMORE, OK 74417
(918) 342-6200
Mailing address
101 S MOORE AVE, CLAREMORE, OK 74017-5047
(918) 342-6200
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
151
OK
Other
Enumeration date
08/28/2016
Last updated
08/28/2016
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