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Individual

MICHELE L ROGERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AUD

Contact information

Practice address
1921 STONECIPHER DR, ADA, OK 74820-3439
(580) 436-3980
(580) 421-6283
Mailing address
1925 WARRIOR WAY, ADA, OK 74820-3491
(580) 421-4570
(580) 421-6283

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
299
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
299
AUDIOLOGY LICENCE
OK
Enumeration date
05/26/2006
Last updated
07/10/2024
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