Individual
TEEOTI N LITTLEFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1410 S. GIN RD., ATOKA, OK 74525
(580) 889-3399
Mailing address
2418 ARLINGTON BLVD, ADA, OK 74820-4620
(580) 559-9655
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200287120A
—
OK
Enumeration date
08/07/2012
Last updated
08/07/2012
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