Individual
ADA ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3002 SHADY LN, ANADARKO, OK 73005-6204
(405) 933-4041
Mailing address
3002 SHADY LN, ANADARKO, OK 73005-6204
(405) 933-4041
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
03/28/2014
Last updated
03/28/2014
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