Individual
ANTOINETTE LATRICE STARR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5505 MAIN ST, DEL CITY, OK 73115-5509
(405) 796-7010
Mailing address
1505 PARK CIR, OKLAHOMA CITY, OK 73111-5214
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
OK
Other
Enumeration date
03/16/2020
Last updated
03/16/2020
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