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Individual

REBECCA RYAN LEA HERROD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1005 WILSON ST, MAYSVILLE, OK 73057-9694
(405) 207-0978
Mailing address
1005 WILSON ST, MAYSVILLE, OK 73057-9694

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5386
OK

Other

Enumeration date
01/07/2026
Last updated
01/07/2026
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