Individual
MS. TIANA MARIE BABB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
212 E. 4TH ST., CARNEGIE, OK 73015
(580) 654-1100
(580) 654-2273
Mailing address
PO BOX 103, CARNEGIE, OK 73015-0103
(580) 654-1100
(580) 654-2273
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
83491
OK
Other
Enumeration date
01/10/2011
Last updated
01/10/2011
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