Individual
LAURA WEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12005 E 470 RD, CLAREMORE, OK 74017-3737
(918) 342-0770
Mailing address
12005 E 470 RD, CLAREMORE, OK 74017-3737
(918) 342-0770
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
11/23/2020
Last updated
01/11/2021
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