Individual
ASHONTAY OWENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
111 N HUDSON ST, ALTUS, OK 73521-3811
(580) 303-9541
Mailing address
590 FERN DR, ALTUS, OK 73521-7417
(402) 707-4094
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/05/2015
Last updated
05/05/2015
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