Individual
AMBER YEAHQUO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1515 NE LAWRIE TATUM RD, LAWTON, OK 73507-3002
(580) 354-5500
Mailing address
801 NW 48TH ST, LAWTON, OK 73505-4703
(580) 354-5506
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
0052888
OK
Other
Enumeration date
09/17/2015
Last updated
10/13/2015
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