Individual
MISS MARLO KATHLEEN HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
END TECH
Contact information
Practice address
316 RIDGEVIEW DR, CLAREMORE, OK 74017-4810
(918) 637-5658
Mailing address
316 RIDGEVIEW DR, CLAREMORE, OK 74017-4810
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
—
—
Other
Enumeration date
02/15/2012
Last updated
02/15/2012
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