Individual
SHANDA FESMIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
221 W 3RD ST, HOBART, OK 73651-3603
(580) 752-4309
(580) 752-4356
Mailing address
221 W 3RD ST, HOBART, OK 73651-3603
(580) 752-4309
(580) 752-4356
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
01/06/2015
Last updated
01/06/2015
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