Individual
TAMRA HARGIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9704 EMILIE GRACE LN, MOORE, OK 73160-2479
(405) 479-7077
Mailing address
9704 EMILIE GRACE LN, MOORE, OK 73160-2479
(405) 479-7077
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
12/11/2023
Last updated
12/11/2023
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