Individual
AMANDA BATALO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
426 HEATHER RD, INOLA, OK 74036-9335
(918) 271-8594
Mailing address
426 HEATHER RD, INOLA, OK 74036-9335
(918) 271-8594
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
01/16/2019
Last updated
01/16/2019
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