Individual
MRS. AMY LADAWN HARBIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14290 S 104TH ST W, OKTAHA, OK 74450-4126
(918) 682-0839
Mailing address
PO BOX 511, CHECOTAH, OK 74426-0511
(918) 682-0839
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/30/2010
Last updated
07/13/2010
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