Individual
ADRIENNE HARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
300 N DALTON ST, VALLIANT, OK 74764-8029
(580) 203-3600
Mailing address
411 N L ST APT A, HUGO, OK 74743-2851
(580) 372-3769
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
F084128580
OK
Other
Enumeration date
05/26/2023
Last updated
05/26/2023
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