Individual
LEE RAIN WALLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
69 ARROWHEAD LOOP, CANADIAN, OK 74425-5012
(918) 339-5800
Mailing address
69 ARROWHEAD LOOP, CANADIAN, OK 74425-5012
(918) 339-5800
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
09/09/2011
Last updated
09/09/2011
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