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Individual

LANESE LEANN HOGAN-HOUSTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
4010 VERSAILLES BLVD, OKLAHOMA CITY, OK 73116-1660
(405) 308-6217
Mailing address
2304 W HEFNER RD UNIT 20606, OKLAHOMA CITY, OK 73156-4631
(405) 308-6217

Taxonomy

Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary

Other

Enumeration date
11/03/2022
Last updated
11/03/2022
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