Individual
MR. CLAUDE LEGRON LATHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
319 N HUDSON ST, ALTUS, OK 73521-3709
(580) 482-2809
Mailing address
319 N HUDSON ST, ALTUS, OK 73521-3709
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/03/2014
Last updated
06/03/2014
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