Individual
STEPHANIE ANTHONY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8952 S WESTERN AVE, OKLAHOMA CITY, OK 73139-9215
(405) 820-6579
Mailing address
PO BOX 655, EDMOND, OK 73083-0655
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
OK
Other
Enumeration date
12/29/2015
Last updated
12/29/2015
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