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Individual

MS. AMANDA MINK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
614 1/2 W OLIVE ST, STILWELL, OK 74960-2839
(918) 696-2181
Mailing address
RR 3 BOX 2435, STILWELL, OK 74960-9422

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
10/13/2014
Last updated
10/13/2014
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