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Individual

HEATHER MICHELLE OBRIEN DAUGHERTY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
337 N JOHNSON ST., DISNEY, OK 74340
(417) 669-4637
Mailing address
PO BOX 711, LANGLEY, OK 74350-0711
(417) 669-4637

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
192453
OK
225700000X
Massage Therapist
9235
AR

Other

Enumeration date
02/16/2023
Last updated
02/16/2023
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