Individual
SUSANNAH RENEE FARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
RR 1 BOX 241AA, MADILL, OK 73446-9059
(580) 465-8408
Mailing address
RR 1 BOX 241AA, MADILL, OK 73446-9059
(580) 465-8408
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
05/24/2010
Last updated
05/24/2010
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