Individual
ANDREA HAMILTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
112 S 7TH AVE, DURANT, OK 74701-5017
(580) 924-4779
Mailing address
112 S 7TH AVE, DURANT, OK 74701-5017
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200610300A
—
OK
Enumeration date
02/10/2023
Last updated
02/17/2023
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