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Individual

BARBARA A MILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NC, MH, HHP, CHS

Contact information

Practice address
2301 N WAVERLY ST, BLDG #6, PONCA CITY, OK 74601-1168
(580) 762-3125
(580) 762-3104
Mailing address
2301 N WAVERLY ST, BLDG #6, PONCA CITY, OK 74601-1168
(580) 762-3125
(580) 762-3104

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary

Other

Enumeration date
07/08/2009
Last updated
07/08/2009
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