Individual
JANICE LYNNE HOSACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
201 E CHESTNUT AVE, PONCA CITY, OK 74601-4311
(580) 763-0931
(580) 763-0934
Mailing address
PO BOX 364, SHIDLER, OK 74652-0364
(918) 793-4571
(580) 763-0934
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/20/2010
Last updated
07/20/2010
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