Individual
MARK W HAMPTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1010 E 45TH ST, SHAWNEE, OK 74804-2202
(405) 273-1170
(405) 275-5132
Mailing address
1715 WILDWOOD, SHAWNEE, OK 74804-1803
(405) 481-3436
(405) 275-5132
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
06/16/2015
Last updated
06/16/2015
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