Individual
CONSUELO SPLAWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
403 CHATA CIR, HUGO, OK 74743-1854
(580) 326-8304
Mailing address
PO BOX 88, HUGO, OK 74743-0088
(580) 326-8304
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/13/2021
Last updated
07/13/2021
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