Individual
AMANDA LOMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
606 5TH STREET, HAILEYVILLE, OK 74546-0000
(918) 916-7422
Mailing address
104 E CARL ALBERT PKWY, MCALESTER, OK 74501-5092
(918) 916-7422
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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