Individual
SANDIE KAY MATTOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
PO BOX 624, HARRAH, OK 73045-0624
(405) 990-0837
Mailing address
PO BOX 624, HARRAH, OK 73045-0624
(405) 990-0837
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
10/28/2024
Last updated
10/28/2024
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