Individual
ANASTACIA R HAMLETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
219 S MOULTON ST, GOTEBO, OK 73041-2500
(580) 682-0991
Mailing address
219 S MOULTON ST, GOTEBO, OK 73041-2500
(580) 682-0991
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/16/2018
Last updated
02/16/2018
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